Gynaecology · London
Private laparoscopic myomectomy in London, by a consultant gynaecologist.
A proper keyhole fibroid operation by a BSGE-accredited consultant - with the uterus preserved, a robotic option when it fits, and every alternative honestly on the table first.
Indicative pricing
What a private laparoscopic myomectomy costs in London.
Indicative ranges across UK private providers.
In short
£6,000–£12,000, home in one to two nights.
| Procedure | Indicative range | Typical duration | Stay |
|---|---|---|---|
| Laparoscopic myomectomy (1–3 fibroids) | £6,000–£9,000 | 90–150 min | 1–2 night stay |
| Laparoscopic myomectomy (multiple/large) | £9,000–£12,000 | 150–210 min | 1–2 night stay |
| Robotic-assisted myomectomy (Da Vinci Xi) | £8,000–£15,000 | 150–240 min | 1–2 night stay |
| Hysteroscopic myomectomy (submucosal) | £3,500–£6,500 | 45–90 min | Day case |
| Open (abdominal) myomectomy | £7,500–£13,000 | 120–180 min | 2–4 night stay |
| Pelvic MRI (fibroid mapping) | £450–£850 | 30–45 min | 48 h report |
| Consultation only | £250–£450 | 30–45 min | Same visit |
Prices vary by clinic, by which consultant does the case, by the number and size of your fibroids, and by whether the robotic platform is used.
The problem
The right surgeon, the right route, the right operation.
Fibroid surgery is where the specialist really matters. Volume, BSGE accreditation and honest advice on alternatives change outcomes - we make sure all three are in place before you commit.
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Not sure surgery is needed?
A Mirena, tranexamic acid, GnRH agonists or UAE might do the job. We say so before you agree to an operation.
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Worried about fertility?
Laparoscopic myomectomy preserves the uterus - and, done well, protects your chance of a future pregnancy.
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Want it done properly?
A named BSGE-accredited consultant, contained-bag morcellation, a double-layer barbed closure - every detail as it should be.
When it helps
When laparoscopic myomectomy is the right step.
The situations we see most, plus the one red flag that means an urgent gynaecology review rather than a routine booking.
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Heavy menstrual bleeding
Periods that soak through protection, flood at night or leave you anaemic - the commonest reason women present with fibroids (NICE NG88).
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Bulk and pressure symptoms
Urinary frequency, constipation, bloating or back pain from a fibroid uterus pressing on the bladder, bowel or pelvic floor.
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Painful periods (dysmenorrhoea)
Cramping that outlasts a normal period, or a new pattern of pain that started as fibroids grew.
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Subfertility linked to fibroids
Submucosal, or large intramural fibroids distorting the cavity or blocking the tubes - removing them can restore natural conception rates.
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Recurrent miscarriage with cavity distortion
Where the cavity is deformed by an intramural or submucosal fibroid, myomectomy is often the right next step.
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Wanting to preserve the uterus
For fertility, for future options, or simply on principle - myomectomy keeps the uterus where hysterectomy would not.
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Failed medical treatment
Where the pill, tranexamic acid, GnRH agonists or a Mirena have not controlled symptoms - surgery is the reasonable next step.
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Red flag: rapid growth after menopause
A rapidly enlarging fibroid, especially after menopause, needs urgent gynaecological review to exclude a leiomyosarcoma - not a routine booking.
Procedure options
Laparoscopic myomectomy is not the only option.
What each option on the table actually involves - and which one fits which fibroid map (FIGO 0–8).
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Laparoscopic myomectomy
The standard keyhole route for intramural (FIGO 3–4) and subserosal (FIGO 5–7) fibroids up to around 8–10 cm, and a total uterine size below a 16-week equivalent.
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Robotic-assisted myomectomy
Da Vinci Xi platform. Precise suturing for larger or multiple fibroids, or tight pelvic anatomy - longer theatre time and higher cost, offset by better closure and less blood loss.
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Hysteroscopic myomectomy
For submucosal fibroids (FIGO 0–2). No abdominal incisions, day-case, faster recovery. Covered in detail on our hysteroscopy page.
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Open (abdominal) myomectomy
A Pfannenstiel incision. Reserved for very large fibroids (>12 cm), five or more fibroids, extensive adhesions, or cervical / lower-segment locations.
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Uterine artery embolisation (UAE)
A radiological alternative (NICE IPG367) that shrinks fibroids by cutting their blood supply. Fertility outcomes are debated - a real option where surgery is unwanted.
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MR-guided focused ultrasound (HIFU)
Incision-free ablation for selected fibroids. Suits a specific subset - we cover the detail on our HIFU page.
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GnRH agonists pre-op (Zoladex)
Three months of Zoladex before surgery can shrink very large fibroids, correct anaemia and reduce blood loss on the day. Temporary - the fibroids regrow if you do not proceed.
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Mirena IUS
For heavy bleeding when fertility is not a concern and there is no cavity distortion - a hormone-releasing coil that can transform periods without surgery.
Safety and recovery
What to expect afterwards - honestly.
Laparoscopic myomectomy is safe in experienced hands, but it is real abdominal surgery. The risks worth planning for are bleeding, the small chance of conversion to open, and the specific morcellation and pregnancy considerations.
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Bleeding is the main risk
Fibroid surgery bleeds. Diluted vasopressin, careful haemostasis and a double-layer barbed-suture closure keep it in check - but 5–15% of women having large or multiple fibroid surgery need a transfusion.
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Conversion to open - under 5%
A small minority of laparoscopic cases convert to a Pfannenstiel incision on the day if bleeding or anatomy demand it. It is consented for up front, not an unwelcome surprise.
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Hysterectomy is a very rare fallback
Uncontrollable haemorrhage is the only reason a myomectomy ever becomes a hysterectomy on the day. It is well under 1% in experienced hands, and consented for separately.
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Morcellation risk, honestly
Removing the specimen through keyhole ports needs morcellation. MHRA and FDA guidance now mandate contained-bag morcellation to avoid disseminating a rare undiagnosed leiomyosarcoma (~1 in 350–1,000).
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Bowel, bladder and ureter injury <1%
The commonest serious complication, and usually recognised and repaired at the same operation. Consented for in every case.
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Uterine rupture in later pregnancy
A real, small risk (<1% overall) if you conceive after myomectomy - higher when the cavity was breached. RCOG guidance recommends elective caesarean at 38–39 weeks for extensive repairs.
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Recurrence - 10–30% at five years
Fibroids can grow back or new ones can appear. Myomectomy treats what is there today; it does not stop new fibroid growth.
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Adhesions and persistent dysmenorrhoea
Some women develop adhesions or continue to have painful periods despite successful surgery - worth knowing before you consent.
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Red flags after surgery
Fever, heavy vaginal bleeding, spreading abdominal pain or breathlessness after discharge are not normal - call the clinic or A&E the same day.
Reading your operation note
Your operation note in four parts. Read the last one first.
Whichever route was used - laparoscopic, robotic or open - 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 route chosen
Why the myomectomy was done - bleeding, pressure, fertility - and which route was agreed with you (laparoscopic, robotic or open).
- 02 Technique
Fibroid map, closure and morcellation
Number, size and FIGO type of every fibroid removed, whether the cavity was breached, closure technique, and how the specimen was retrieved.
- 03 Findings
Blood loss, histology and incidentals
Estimated blood loss, transfusion if any, histology on each specimen confirming benign leiomyoma, and any incidental pelvic findings.
- 04 Impression
Recovery, conception window and mode of delivery
Read this first: expected recovery, when it is safe to try for a pregnancy, and whether an elective caesarean is advised at term.
Recognised by major UK insurers
Cover for laparoscopic myomectomy is usually funded when symptoms or fertility make it medically indicated, subject to your policy’s outpatient and surgery limits.
Frequently asked
Everything we get asked about laparoscopic myomectomy.
Quick answers on candidacy, cost, alternatives, fertility, recovery and how likely fibroids are to come back.
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What is a laparoscopic myomectomy?
A minimally invasive keyhole operation to remove uterine fibroids (leiomyomata) while preserving the uterus. It is the standard choice for symptomatic intramural or subserosal fibroids in women who want to keep their fertility or avoid a hysterectomy.
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Am I a candidate for the laparoscopic route?
Usually yes if you have one to five fibroids, each up to around 8–10 cm, a total uterine size under a 16-week equivalent, a BMI below 35, and a surgeon experienced in advanced laparoscopy. Very large or numerous fibroids, dense adhesions or cervical fibroids may need an open operation.
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How is a laparoscopic myomectomy different from a hysteroscopic one?
Hysteroscopic myomectomy treats submucosal fibroids (FIGO 0–2) from inside the uterus with no abdominal incisions - day case, quicker recovery. Laparoscopic myomectomy treats intramural and subserosal fibroids (FIGO 3–7) through keyhole ports on the abdomen. The type of fibroid decides the route, not preference.
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What does a private myomectomy cost in London?
Roughly £6,000–£9,000 for a straightforward laparoscopic case and £9,000–£12,000 for larger or multiple fibroids. Robotic-assisted myomectomy runs £8,000–£15,000. Open myomectomy is £7,500–£13,000.
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Will I still be able to get pregnant?
Yes - that is often the whole point. Reported live-birth rates after myomectomy for women trying to conceive range from 40 to 70%. Most surgeons ask you to wait three to six months before trying, to let the uterine wall heal fully.
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Will I need a caesarean if I get pregnant afterwards?
Not always. RCOG guidance advises elective caesarean at 38–39 weeks after an extensive myomectomy where the cavity was breached or a large intramural fibroid was removed. Where the scar is considered adequate, a normal vaginal delivery can still be an option - your obstetrician decides.
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How long is the recovery from a laparoscopic myomectomy?
A one- to two-night stay is typical. Discomfort settles over five to ten days. Most women are back at a desk job in two to four weeks, driving within one to two weeks, and back to full exercise at six to eight weeks. No sex for four to six weeks.
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Can fibroids come back after a myomectomy?
Yes. Around 10–30% of women develop new fibroids within five years, and some go on to need further treatment. Myomectomy treats today’s fibroids - it does not prevent new ones. Hysterectomy is the only definitive option.
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