Concierge gynaecological surgery · London
Laparoscopic gynaecology, keyhole surgery for endometriosis, fibroids, ovarian cysts and hysterectomy.
Laparoscopic (keyhole) gynaecology treats endometriosis, fibroids, ovarian cysts and ectopic pregnancy. It can also remove the womb (total laparoscopic hysterectomy). Recovery is faster than open surgery. Complex endometriosis is handled at BSGE-accredited centres — specialist units for deep disease.
Why patients choose us
- 01
The right hands
We match you to a consultant gynaecologist who specialises in keyhole surgery. For deep endometriosis, that means a BSGE-accredited surgeon.
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Multi-disciplinary from the start
Colorectal, urology and fertility teams join the plan from day one. They are not called in only when something goes wrong.
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Independent, and free
No clinic pays us. Our recommendation is impartial, and it costs you nothing.
Key facts
What laparoscopic gynaecology involves, at a glance.
In short: your surgeon works through small ports in your tummy while you sleep under a general anaesthetic. Most patients go home the same day, or after one night, and recover faster than after open surgery.
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Definition
Keyhole gynaecological surgery through small tummy ports, not one large open cut.
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General anaesthetic in theatre
A consultant anaesthetist gives you a general anaesthetic. You are fully asleep for the operation.
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Day-case for many procedures
Diagnostic laparoscopy, cystectomy and salpingectomy are usually done as day cases.
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BSGE-accredited endo centres
Deep endometriosis is treated in BSGE-accredited centres with the full multi-disciplinary team on hand.
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Multi-disciplinary team-linked
Colorectal, urology, pain and fertility teams are available when the disease needs them.
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Robotic-assisted options
Robot-assisted keyhole surgery is an option for selected hysterectomy, sacrocolpopexy and cancer cases.
The problem
Laparoscopic gynaecology is a subspecialty — not every gynaecologist is one.
The technique is standard. The outcome is not. Complex excision, fertility-sparing myomectomy and BSGE-level endometriosis surgery need a subspecialist and a full MDT. We match you to the right surgeon.
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Endometriosis symptoms not settling?
BSGE-accredited excision, with colorectal and urology on-call for deep disease.
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Fibroids and hoping to keep your womb?
Keyhole myomectomy, with a fertility referral running alongside.
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Considering hysterectomy?
Total laparoscopic hysterectomy on an enhanced recovery pathway. Often a day case.
Preparation and pathway
From consultation to discharge — what happens, in order.
One team looks after you from the first consultation to follow-up. Many patients go home the same day. Hysterectomy and complex excision need a short stay.
Phase 1 · Before theatre
Consultation, work-up, planning
Phase 2 · On the day
GA, laparoscopy, procedure
Phase 3 · After
Discharge, follow-up
- 01
Before
Gynaecology consultation
Your consultant takes a full history, examines you and reviews your scans. Together, you decide whether laparoscopy is the right next step.
- 02
Before
Pre-op assessment
Blood tests, an ECG if needed, an anaesthetic review and a written plan for the day of surgery.
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Before
Fast six hours
Nothing to eat for six hours before theatre. Clear fluids are allowed up to two hours before, unless the team says otherwise.
- 04
On the day
General anaesthetic in theatre
A consultant anaesthetist sends you to sleep. You feel nothing during the operation.
- 05
On the day
Trocar placement and CO₂ insufflation
The surgeon makes small ports (tiny openings) in your tummy. Gas gently inflates the space so the camera and instruments can move freely.
- 06
On the day
Excision or repair as needed
The planned procedure is carried out under a high-definition view. That may be endometriosis excision, myomectomy, cystectomy, salpingectomy or hysterectomy.
- 07
After
Discharge same day or 24–48 hours
Many procedures are day-case. Hysterectomy and complex excision may need one night, or up to 48 hours, in hospital.
Typical stay: day case to 48 hours. Urgent cases: expedited slot.
What it treats
When laparoscopic gynaecology is the right operation.
The main procedures we arrange, from diagnostic excision through to definitive womb surgery.
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Endometriosis excision
Removing endometriosis deposits, including deep disease. This restores normal anatomy and eases pain.
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Myomectomy for fibroids
Keyhole removal of uterine fibroids. The womb — and future fertility — is preserved.
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Ovarian cystectomy
Cyst removal that spares the ovary. Used for endometriomas, dermoids and persistent benign cysts.
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Salpingectomy for ectopic
Removal of the affected fallopian tube when a pregnancy has implanted in the tube.
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Adhesiolysis
Dividing adhesions (internal scar tissue) from earlier surgery, infection or endometriosis. This eases pain and restores function.
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Total laparoscopic hysterectomy
Keyhole removal of the womb, with or without the tubes and ovaries. Used for benign and cancer-related reasons.
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Sacrocolpopexy
Keyhole mesh repair to lift the top of the vagina when it has dropped (apical prolapse).
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Red flag: intra-op bowel / ureteric injury — urgent surgical repair
Spotted during surgery and repaired straight away by the on-call colorectal or urology team.
Next steps
What follows surgery — the pathway around the procedure.
Enhanced recovery, hormone treatment, fertility planning and MDT review. These are the pieces that turn a good operation into a good outcome.
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Enhanced recovery pathway
A structured plan before, during and after surgery. It helps you move sooner, use fewer opioids and go home faster.
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Hormonal management post-endo surgery
Progestogens, the combined pill or GnRH-based options. These help stop endometriosis coming back after excision.
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Fertility referral
Onward referral to a reproductive medicine consultant if fertility matters to you.
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IVF planning if hysterectomy avoided
When we keep the womb, we coordinate IVF planning with a fertility unit alongside your surgery.
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Physiotherapy and pelvic floor rehab
Specialist pelvic physiotherapy to support recovery. It is especially useful after hysterectomy or sacrocolpopexy.
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Cancer MDT for oncology cases
A gynae-oncology MDT reviews your case if the tissue results show — or suggest — cancer.
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Structured follow-up
A wound check, a review of your tissue results and a written plan. It covers symptoms, contraception and any follow-up scans.
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Multi-disciplinary team review
A joint review by colorectal, urology, pain and fertility teams for complex or recurring disease.
Our vetted London network
A small panel of centres, we picked them.
BSGE-accredited endometriosis centres and specialist keyhole units across central London. We introduce you privately, once we understand your case.
Selection criteria
How we choose every centre in our network.
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Consultant gynaecologists with a laparoscopic subspecialty interest
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BSGE-accredited endometriosis centres for deep infiltrating disease
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On-call colorectal and urology cover for complex pelvic surgery
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Structured cancer MDT pathway where malignancy is a possibility
Red flags and risks
The risks we discuss with every patient.
Keyhole surgery is safe in experienced hands. The serious risks are rare. When they happen, a full MDT manages them.
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Bowel injury
A small risk of injury to the bowel when placing ports or dissecting tissue. The surgeon spots it during the operation and repairs it.
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Ureteric injury
The risk rises with deep endometriosis and adhesions. A urology team is on-call for immediate stenting or repair.
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Vascular injury
A rare injury to a major blood vessel at entry. An open-entry technique and experienced hands keep this risk low.
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Post-op bleeding
A small risk of bleeding that needs a return to theatre. The ward team monitors you closely afterwards.
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Post-op infection
Wound, urinary or pelvic infection. Antibiotics before surgery and enhanced recovery cut the risk.
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DVT / PE
A risk of blood clots in the leg or lung. Compression stockings, early walking and blood-thinning injections lower it.
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Frozen pelvis (deep endometriosis)
Extensive scarring can distort the anatomy. A BSGE centre is the safeguard for these cases.
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Post-op fistula
A rare abnormal channel between bowel, bladder or ureter after complex excision. Colorectal and urology manage it together.
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Chronic pelvic pain persistence
Pain does not always settle fully after surgery. A pain team and physiotherapy pathway supports the minority who need more help.
Reading your report
An operative note can look intimidating. It isn’t.
Whatever the finding, the operative note keeps to the same four parts.
A quiet reminder
The report is written for your doctor, not for you — and that’s normal.
If you would like us to talk you through it before your follow-up, just ask.
- 01 Header
Indication and planned procedure
Your details, the reason for surgery and the exact procedure you agreed to.
- 02 Technique
Ports, entry and instruments used
Where the ports were placed, how the surgeon entered, and the instruments and energy devices used.
- 03 Findings
Anatomy, disease, staging and repair
What the surgeon found — endometriosis stage, fibroid location, cyst type, adhesions — and what was done about it.
- 04 Impression
The plan: read this first
Instructions for the days after surgery, samples sent for testing, follow-up and any onward MDT referral.
Recognised by major UK insurers
Cover depends on your policy and clinic; we confirm with your insurer before booking.
Frequently asked
Everything we get asked about laparoscopic gynaecology.
Quick answers on hysterectomy stay, BSGE centres, recovery, fertility and the main risks.
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What is laparoscopic gynaecology?
Laparoscopic gynaecology is keyhole surgery for gynaecological conditions. It treats endometriosis, fibroids, ovarian cysts, ectopic pregnancy and can be used for hysterectomy. The surgeon works through small ports using a camera and long instruments, so there is no large open cut. You are asleep under a general anaesthetic.
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Is a laparoscopic hysterectomy done as a day case?
Many total laparoscopic hysterectomies are now done as day case, or with a single overnight stay on an enhanced recovery pathway. Complex excision, cancer cases or other medical conditions may extend the stay to 24–48 hours.
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What is a BSGE-accredited endometriosis centre?
This is a centre accredited by the British Society for Gynaecological Endoscopy for the surgical treatment of deep endometriosis. It has the full team needed for complex cases — colorectal, urology, pain and fertility specialists.
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How long does recovery take?
Day-case laparoscopy usually returns you to light activity within a week and to work within two. Laparoscopic hysterectomy takes four to six weeks. Recovery after complex excision depends on what was done and what the tissue results show.
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Will laparoscopy improve my fertility?
For selected patients, excising endometriosis, removing blocked tubes (hydrosalpinges) or removing fibroids can improve natural conception rates. A fertility referral runs alongside your surgery if pregnancy is the goal.
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What are the main risks?
The main serious risks are injury to the bowel, ureter or blood vessels. Experienced hands and on-call multi-disciplinary cover keep these risks low. Bleeding, infection and blood-clot risks are managed by standard care around the operation.
Sources
- RCOG. Green-top Guidelines — gynaecological surgery and endometriosis.
- BSGE (British Society for Gynaecological Endoscopy).
- ESHRE. Endometriosis guideline.
- NICE. Endometriosis: diagnosis and management (NG73).
Reviewed by Pulse Atlas Editorial Board, . Last reviewed 2026-07-30. Next review 2027-07-30.
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In practice, in London
The London pathway for laparoscopy gynaecology
With laparoscopy gynaecology, the London question is usually about turnaround times and who reads the report. It is rarely about whether the scan is available. NHS waits vary a lot by area, and by how urgently your referral is graded. Central and West London private clinics can normally book within a week. Imaging or a procedure slot follows soon after. It is worth being honest about the reason for going private: usually it is time, not a fundamentally different test.
A private laparoscopy gynaecology pathway in London usually looks like this. You have an initial consultation. Any tests are booked at a nearby facility — most within Zone 1 or 2. A written report is sent to you and your GP within a few days. The consultants we work with hold NHS posts alongside their private lists. That keeps standards consistent across both settings. For laparoscopy gynaecology, the real difference is a routine report versus a subspeciality read — that is where private care earns its keep.
We are careful about what a private pathway for laparoscopy gynaecology can and cannot promise. It can shorten a wait, put you in front of a subspecialist quickly, and get a proper report in your hands within a week. It cannot rewrite what the imaging or the blood tests say. Setting that expectation up front tends to make the whole experience less stressful.