Concierge gynaecology · London
Private hysterectomy in London, by a consultant gynaecologist.
Vaginal, laparoscopic, robotic or open — matched to your uterus and your case, not the surgeon’s habit. NICE- and RCOG-guided, with an honest word on ovaries and tubes.
Why patients choose us
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A consultant gynaecologist, in theatre
A named consultant gynaecologist — laparoscopic, vaginal, robotic or open — matched to the approach that suits your uterus, not the surgeon’s habit.
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Vaginal and keyhole first, open last
RCOG and NICE put vaginal or laparoscopic first when feasible. We say so, and we say why — before you commit to a bigger operation than you need.
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Independent, and free
We are paid by no clinic, so the recommendation on approach, ovaries and tubes is impartial and costs you nothing.
Indicative pricing
What a private hysterectomy costs in London.
Indicative ranges across our partner clinics. Send the details and we quote firm figures across the approaches that fit your case.
In short
A laparoscopic hysterectomy in our network: £6,000–£11,000, home in one to two nights.
| Procedure | Indicative range | Typical duration | Hospital stay |
|---|---|---|---|
| Vaginal hysterectomy (VH) | £5,000–£9,000 | 60–90 min | 1–2 nights |
| Total laparoscopic hysterectomy (TLH) | £6,000–£11,000 | 90–150 min | 1–2 nights |
| Robotic hysterectomy (da Vinci) | £8,000–£15,000 | 120–180 min | 1–2 nights |
| Total abdominal hysterectomy (open) | £8,000–£14,000 | 90–150 min | 3–5 nights |
| Add-on: bilateral salpingo-oophorectomy | £800–£1,800 | +20–40 min | Same admission |
| Consultation only | £250–£450 | 30–45 min | Same visit |
Prices vary by clinic, by the surgeon, by approach (vaginal, laparoscopic, robotic, open), by uterine size and by whether the ovaries and tubes come out. We come back with a firm quote within one working day.
The problem
The right surgeon, the right approach, the right decision on ovaries.
Hysterectomy is one of the operations most often over-scaled — booked open when it could be vaginal, or with ovaries removed when they should stay. We fix all three before you commit.
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Not sure it is needed yet?
Mirena, endometrial ablation, GnRH or myomectomy might still be options. We say so before you agree to a hysterectomy.
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Worried it will be a big op?
Vaginal first, laparoscopic second — that is the NICE/RCOG order. Open abdominal is reserved for the cases that truly need it.
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Unsure about ovaries and tubes?
Ovaries usually stay in a premenopausal woman. Opportunistic salpingectomy is increasingly standard. We talk it through.
The journey
From enquiry to recovery — what happens, in order.
One clinician from first message to review — including the six-week recovery window.
Phase 1 · Before your operation
Concierge, off-stage for you
Phase 2 · Admission and theatre
A day and a night at the clinic
Phase 3 · After
Concierge, back on
- 01
Before
You tell us what is going on
A short, confidential form. Symptoms, prior treatments (Mirena, ablation, GnRH), scans, and whether cancer is on the table.
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Before
We come back with a recommendation
Within one working day: the right approach — vaginal, laparoscopic, robotic or open — the right surgeon, and an honest word on ovaries and tubes.
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Before
Pre-op assessment
Bloods, MRSA screen, ECG or echo if indicated, anaesthetic review, and a clear plan for any blood thinners or HRT.
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On the day
Admission and anaesthetic
General anaesthetic, often with a spinal or epidural for pain control. ERAS pathway — no long fast, warmed fluids, early mobilisation planned.
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On the day
The operation itself
60–180 minutes depending on approach. Uterus removed vaginally, laparoscopically, robotically or through an abdominal incision. Ovaries and tubes handled per the pre-op plan.
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On the day
First night on the ward
Catheter overnight, sips then diet, mobilised day 1. Discharge 1–3 days for vaginal or keyhole, 3–5 days for open.
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After
Recovery and review
Back to office work at 2–4 weeks (keyhole/vaginal) or 4–6 weeks (open). No sex or heavy lifting for six weeks. Histology and review arranged.
Typical end-to-end: 3–4 weeks from enquiry to operation. Full healing: 6 weeks keyhole/vaginal, 6–8 weeks open.
When it helps
When a hysterectomy is the right step.
The indications we see most, plus the one red flag that means an urgent gynae assessment before anyone talks surgery.
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Heavy menstrual bleeding
Bleeding that has not settled after Mirena, ablation or GnRH. Hysterectomy is the definitive step per NICE NG88.
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Symptomatic fibroids
Menorrhagia, pressure, urinary frequency or a bulky uterus that is affecting daily life.
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Adenomyosis
Painful, heavy periods from adenomyosis where medical treatment has failed.
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Uterovaginal prolapse
A uterus that has descended, often with cystocele or rectocele — vaginal hysterectomy with wall repair.
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Advanced endometriosis
Chronic pelvic pain from severe endometriosis, alongside excision, when fertility is complete.
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Endometrial or cervical cancer
Total or radical (Wertheim’s) hysterectomy for cancer, staged with pelvic node sampling as needed.
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BRCA / Lynch risk-reducing surgery
Risk-reducing hysterectomy with BSO for BRCA or Lynch syndrome, planned with the genetics team.
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Red flag: post-menopausal bleeding
New bleeding after menopause needs urgent gynae assessment first — not a straight-to-hysterectomy referral.
Approach options
Not all hysterectomies are the same operation.
What each approach actually involves — and which fits which uterus, which indication and which patient.
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Vaginal hysterectomy (VH)
RCOG and NICE first choice when feasible. No abdominal incision, fastest recovery, ideal for prolapse or a small uterus with good vaginal access.
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Total laparoscopic hysterectomy (TLH)
The UK workhorse. Keyhole ports, day-case or one night, and enough access to deal with adhesions, endometriosis or the ovaries.
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Laparoscopic-assisted vaginal (LAVH)
A hybrid — the difficult part done laparoscopically, the uterus delivered vaginally. Useful when vaginal access alone is borderline.
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Robotic hysterectomy (da Vinci)
Increasing UK adoption for complex pelvic surgery — severe endometriosis, malignancy, morbid obesity, or heavy previous surgery.
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Total abdominal hysterectomy (TAH)
Open surgery through a bikini or midline incision. Reserved for a very large uterus, dense adhesions, or malignancy needing full pelvic clearance.
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Subtotal (supracervical) hysterectomy
Cervix preserved. Rarely chosen now — 10–20% still have cyclical bleeding and cervical screening continues. A patient-preference option.
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Radical (Wertheim’s) hysterectomy
For cervical or uterine cancer — uterus with paracervical tissue, upper vagina and pelvic lymph nodes, under a gynae-oncologist.
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Ovaries, tubes and BSO
Ovaries usually kept in premenopausal women to protect bone, heart and brain. Opportunistic salpingectomy is increasingly standard to lower ovarian cancer risk.
Our vetted London network
A small panel of gynaecologists, we picked them.
Consultant gynaecologists across central, north, west and south London — vaginal, laparoscopic, robotic and open. Introductions are made privately, once we understand your case.
Selection criteria
How we choose every gynaecologist in our network.
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Consultant gynaecologists — laparoscopic, vaginal, robotic and open on the panel
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BSGE-accredited endometriosis centres for complex pelvic cases
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BGCS-linked gynae-oncologists for cancer hysterectomy
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ERAS pathways, day-case or one-night discharge for vaginal and laparoscopic cases
Safety and recovery
What to expect afterwards — honestly.
Hysterectomy is one of the most established operations in gynaecology. The things worth planning are the approach, the six-week rules, and what surgical menopause means if the ovaries come out.
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General anaesthetic, often with a spinal
Most hysterectomies are done under GA with a spinal or epidural on top for pain control — comfortable waking, less opioid.
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Bleeding and transfusion
Blood loss is usually modest. Transfusion is needed in roughly 1–3% and the team is prepared for it, especially with large fibroids.
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Urinary and bowel injury
Ureter or bladder injury is uncommon — around 1–2% — and bowel injury rarer still. Recognised at operation and repaired.
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Infection and VTE
Wound or urinary infection in 5–10%; clot risk 1–2% — reduced by prophylactic heparin, stockings and early walking.
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Vaginal cuff dehiscence
The vault stitches can separate in 0.5–1% of cases (higher after TLH) — the reason for the six-week no-sex, no-lifting rule.
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Late vault or pelvic prolapse
Vault prolapse in 5–10% at ten years; sacrospinous fixation at the time of surgery reduces this. New posterior wall prolapse is also possible.
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Sexual and pelvic changes
Some women notice altered sensation, dyspareunia or a shorter vagina — worth a candid conversation before surgery, not after.
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Early menopause if BSO
Removing both ovaries in a premenopausal woman causes surgical menopause overnight — HRT is usually offered and planned in advance.
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Red flags after discharge
Heavy vaginal bleeding, fever, severe pain, a hot swollen calf or breathlessness are not normal — call the ward or A&E the same day.
Reading your operation note
Your operation note in four parts. Read the last one first.
Whichever approach was used, the note the gynaecologist sends you keeps to the same shape.
A quiet reminder
Surgical language is precise and can read coldly — we translate it for you.
If you would like us to talk you through the note before your review, just ask.
- 01 Header
Indication and approach chosen
Why the operation was done — fibroids, adenomyosis, prolapse, cancer — and whether it was vaginal, laparoscopic, robotic or open.
- 02 Technique
Anaesthetic and surgical technique
GA with or without spinal, the ports or incision used, and whether the ovaries, tubes and cervix were removed or preserved.
- 03 Findings
Uterus, adnexae and histology
Uterine size and weight, ovarian and tubal findings, any endometriosis or adhesions, and the histology report when it lands.
- 04 Impression
Recovery, six-week rules, review timing
Read this first: expected recovery, HRT if BSO, when it is safe to return to sex, driving and exercise, and when to be reviewed.
Recognised by major UK insurers
Cover for hysterectomy is usually straightforward on major UK policies when medically indicated. We confirm cover and any excess with your insurer before booking.
Frequently asked
Everything we get asked about hysterectomy.
Quick answers on approach, ovaries, recovery, cost and what happens if the ovaries come out.
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Why would I need a hysterectomy?
The commonest reasons are heavy menstrual bleeding that has not settled with Mirena or ablation, symptomatic fibroids, adenomyosis, uterine prolapse, advanced endometriosis and gynaecological cancer. NICE and RCOG expect medical and lesser surgical options to be tried first for benign disease.
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Which approach is best — vaginal, keyhole, robotic or open?
Vaginal is first choice when feasible per RCOG and NICE — no abdominal incision and the fastest recovery. Laparoscopic is the UK workhorse for most other benign cases. Robotic suits complex pelvic surgery. Open is reserved for a very large uterus, dense adhesions or cancer needing full clearance.
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Should my ovaries and tubes come out?
If you are premenopausal and there is no cancer or high genetic risk, ovaries are usually kept to protect bone, heart and brain. Both tubes are increasingly removed at hysterectomy — opportunistic salpingectomy — to lower future ovarian cancer risk. It is a proper conversation, not a default.
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What is the difference between total, subtotal and radical?
Total means the uterus and cervix are removed. Subtotal (supracervical) leaves the cervix — around 10–20% still get cyclical bleeding and cervical screening continues. Radical (Wertheim’s) is for cervical or uterine cancer and includes paracervical tissue, upper vagina and pelvic lymph nodes.
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How much does a private hysterectomy cost in London?
Indicative ranges in our network: vaginal £5,000–£9,000, laparoscopic £6,000–£11,000, robotic £8,000–£15,000 and open abdominal £8,000–£14,000. Adding bilateral salpingo-oophorectomy is usually £800–£1,800 on top. We confirm firm figures within one working day.
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How long is the recovery?
Vaginal and laparoscopic: 1–2 nights in hospital, back to office work at 2–4 weeks, driving at 2 weeks and gentle gym at 4. Open abdominal: 3–5 nights, back to work at 4–6 weeks and gym at 6–8. No sex or heavy lifting for six weeks whichever approach — the vaginal cuff needs that time to heal.
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Will I go into the menopause after a hysterectomy?
Only if both ovaries are removed. Keeping the ovaries means natural menopause continues on its own timeline. If you have a bilateral oophorectomy before natural menopause, HRT is usually offered and should be planned before surgery, not after.
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What are the risks I should actually plan around?
The ones worth planning around are bleeding needing transfusion (1–3%), urinary tract injury (1–2%), infection (5–10%), clots (1–2%), vaginal cuff dehiscence (0.5–1%), later vault or pelvic prolapse and, if BSO is done, surgical menopause. The team screens, prophylaxes and briefs you honestly on each.
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When should I ring the ward or go to A&E after surgery?
Heavy fresh vaginal bleeding, a fever, severe or worsening pain, a hot swollen calf, breathlessness or a wound that becomes red and hot — all reasons to ring the ward the same day or head to A&E if you cannot get through.
Related tests
Looking for something else?
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Hysteroscopy
Diagnostic and operative hysteroscopy for the uterine cavity.
Learn more -
Endometriosis
Diagnosis, staging and excision surgery in specialist centres.
Learn more -
Menopause
HRT and surgical menopause after bilateral oophorectomy.
Learn more -
All tests
Every test and procedure we arrange.
Learn more