Concierge gynaecology · United Kingdom
Laparoscopic removal of ovaries, by a consultant gynaecologist.
Keyhole oophorectomy or salpingo-oophorectomy — one ovary or both — done properly in a proper theatre, with the menopause and fertility conversations happening before the operation, not after.
Why patients choose us
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A consultant gynaecologist, in theatre
Not a training list and not a shared theatre day. A named RCOG-accredited gynaecologist, a proper laparoscopic set-up, and the anaesthetic team that suits your case.
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The menopause conversation happens first
If both ovaries are coming out before your natural menopause, we talk HRT, bone and cardiovascular protection before you sign the consent form — not after.
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Independent, and free
We are paid by no clinic, so the recommendation — including whether to preserve one ovary — is impartial and costs you nothing.
Indicative pricing
What a private laparoscopic oophorectomy costs in the UK.
Indicative ranges across our partner clinics. Send the details and we quote firm figures across two or three options.
In short
One ovary via keyhole in our network: £4,000–£6,500, usually home the same day.
| Procedure | Indicative range | Typical duration | Stay |
|---|---|---|---|
| Unilateral oophorectomy (one ovary) | £4,000–£6,500 | 30–60 min | Day-case |
| Unilateral salpingo-oophorectomy | £4,500–£7,000 | 45–75 min | Day-case |
| Bilateral salpingo-oophorectomy (BSO) | £5,500–£8,500 | 60–90 min | Day-case / 1 night |
| Risk-reducing BSO (BRCA / Lynch) | £6,000–£9,000 | 60–90 min | 1 night |
| Oophorectomy at same time as hysterectomy | +£800–£1,500 | Add-on | With main op |
| Consultation only | £250–£450 | 30–45 min | Same visit |
Prices vary by clinic, by which gynaecologist does the case, by whether it is done at the same time as a hysterectomy, and by the length of hospital stay. We come back with a firm quote within one working day. Fully covered on the NHS via a gynaecology referral where clinically indicated.
The problem
The right surgeon, the right ovary decision, the right menopause plan.
Removing an ovary is a bigger decision than the operation itself. Whether one comes out or both, whether tubes go with them, and what happens to your hormones afterwards — that is the conversation we insist on before you agree to surgery.
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Not sure it is needed?
Cystectomy, medical management, or careful surveillance might do the job — we say so before we book you for oophorectomy.
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Worried about menopause?
If both ovaries are coming out, we plan HRT and bone, heart and cognitive protection per NICE NG23 before the operation.
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Want it done properly?
A named RCOG-accredited consultant, keyhole access, proper theatre, and — where relevant — a fertility conversation before the date is set.
The journey
From enquiry to recovery — what happens, in order.
One clinician from first message to review — including the menopause and histology conversations that come after.
Phase 1 · Before your procedure
Concierge, off-stage for you
Phase 2 · On the day
Day-case or one night
Phase 3 · After
Concierge, back on
- 01
Before
You tell us what is going on
A short, confidential form. Cyst, endometrioma, BRCA status, torsion history, or planned risk-reducing surgery — whatever the indication.
- 02
Before
We come back with a recommendation
Within one working day: unilateral or bilateral, tube-sparing or salpingo-oophorectomy, the right gynaecologist, an indicative price. If fertility preservation belongs first, we say so.
- 03
Before
We arrange the appointment
Usually within one to three weeks. Blood-thinners, hormonal medication and fertility plans are reviewed with the team and you are told exactly how to prepare.
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On the day
Arrival at the clinic
Arrival, consent and a chat with the gynaecologist and anaesthetist. General anaesthetic, TED stockings, prophylactic antibiotics.
- 05
On the day
The procedure itself
30 to 90 minutes via 3–4 keyhole ports. The infundibulopelvic and utero-ovarian ligaments are sealed, the ureter is protected, the specimen is removed in an endobag.
- 06
On the day
Day-case or one night
Most women go home the same day; some stay one night. Written aftercare, a menopause plan if relevant, and a lift home.
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After
Recovery and review
One to two weeks off desk work, four to six weeks off heavy lifting. Histology and — where indicated — the HRT plan are reviewed together.
Typical end-to-end: 2–3 weeks from enquiry to procedure. Full recovery: 4–6 weeks.
When it helps
When laparoscopic oophorectomy is the right step.
The situations we see most, plus the red flag that means an emergency rather than an appointment.
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Recurrent or complex ovarian cyst
A large, symptomatic or suspicious cyst that keeps coming back — removal of the ovary is sometimes the definitive answer.
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Endometrioma unresponsive to treatment
A chocolate cyst that has recurred after cystectomy or is destroying ovarian tissue — oophorectomy is considered case-by-case.
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Risk-reducing BSO (BRCA / Lynch)
For BRCA1, BRCA2 or Lynch-syndrome carriers, bilateral salpingo-oophorectomy sharply cuts ovarian and tubal cancer risk. See our high-risk clinic.
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Concurrent with hysterectomy
When a hysterectomy is done for malignancy or high risk, one or both ovaries may be removed at the same operation.
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Ovarian torsion, non-viable ovary
An ovary that has twisted and lost its blood supply and cannot be saved — removal prevents infection and further pain.
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Benign ovarian tumour
Certain benign tumours — dermoid, fibroma, cystadenoma — where cystectomy is not appropriate.
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Severe hormone-driven pelvic pain
Occasionally considered for refractory, hormone-driven dysmenorrhoea after every conservative option has failed.
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Red flag: acute torsion pain
Sudden, severe one-sided pelvic pain with vomiting can be ovarian torsion — same-day A&E, not a clinic booking.
Procedure options
Full BSO is not the only option.
What each option on the table actually involves — and which fits which problem.
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Unilateral oophorectomy
Removal of one ovary, tube preserved. Used where the other ovary is healthy and fertility or hormone function needs to be protected.
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Unilateral salpingo-oophorectomy
Removal of one ovary with its fallopian tube — the standard where a tubal component is suspected.
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Bilateral salpingo-oophorectomy
Removal of both ovaries and both tubes. Definitive, and causes surgical menopause if you are pre-menopausal.
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Risk-reducing BSO
Prophylactic BSO for BRCA1, BRCA2 or Lynch syndrome — timing usually guided by family history and completed childbearing.
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Oophorectomy with hysterectomy
Added to a laparoscopic hysterectomy at the same operation, most often for malignancy staging or strong family history.
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Oophorectomy with fertility plan
Egg or ovarian-tissue preservation arranged before surgery, where fertility matters and time allows.
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Gender-affirming oophorectomy
Part of masculinising surgery for transmasculine patients — see our masculinizing surgery page.
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Consultation only
An honest discussion of whether the ovary needs to go at all — cystectomy, medical management, or surveillance. No obligation.
Our vetted UK network
A small panel of gynaecologists, we picked them.
RCOG-accredited consultant gynaecologists with laparoscopic subspecialty training, working with menopause specialists and — where relevant — clinical genetics. Not listed publicly; introductions are made privately once we understand your case.
Selection criteria
How we choose every gynaecologist in our network.
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RCOG-accredited consultant gynaecologists, not trainees or general surgeons
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Laparoscopic and menopause specialists on the same team
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Fertility preservation referral in place before bilateral surgery in premenopausal women
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Written HRT plan issued the same week for surgical menopause
Safety and recovery
What to expect afterwards — honestly.
Laparoscopic oophorectomy is a safe, well-established procedure in experienced hands. What is worth planning for is the anaesthetic, the surgical menopause conversation if both ovaries are removed, and the recovery window.
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General anaesthetic, keyhole access
Three to four small ports, carbon-dioxide insufflation, and the specimen removed in a bag. Open conversion is rare but possible if access or bleeding demands it.
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Surgical menopause if bilateral
Removing both ovaries before your natural menopause causes immediate menopause. HRT until around 50 is usually recommended per NICE NG23 unless a specific contraindication.
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Fertility — bilateral is definitive
Losing both ovaries ends natural fertility. If future biological children matter, egg or embryo preservation is arranged before surgery where time allows.
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Bleeding, and vessel injury
Serious bleeding is uncommon but the pelvic vessels sit close to the operative field. The team is prepared and blood is available.
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Ureter and bowel injury
The ureter runs within centimetres of the infundibulopelvic ligament — identification and protection is part of the routine of every case.
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DVT and PE
Pelvic surgery raises clot risk. TED stockings, calf pumps in theatre and often a short course of low-molecular-weight heparin are standard.
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Ovarian remnant syndrome
Rarely, small pieces of ovarian tissue are left behind and continue to function or form cysts — a recognised complication that may need further surgery.
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Adhesions and port-site hernia
Adhesions can form after any pelvic surgery. Port-site hernias are rare but a reason larger ports are closed carefully.
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Red flags
Fever, spreading redness, heavy vaginal bleeding, calf pain, shortness of breath or severe abdominal pain after surgery 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 technique 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 procedure performed
Why the operation was done — cyst, endometrioma, risk-reducing, torsion — and whether it was unilateral, bilateral, salpingo-oophorectomy or oophorectomy alone.
- 02 Technique
Access, ligation and specimen retrieval
Port sites, the ligaments divided (infundibulopelvic and utero-ovarian), how the ureter was identified and protected, and how the specimen was removed in an endobag.
- 03 Findings
Pelvic findings and histology plan
Notes on the contralateral ovary, tubes, uterus, appendix, peritoneum and any adhesions — plus what has been sent to histology and when to expect it.
- 04 Impression
Recovery, HRT plan, follow-up
Read this first: expected recovery, whether surgical menopause has been induced, the HRT prescription or plan, and when histology and follow-up are booked.
Recognised by major UK insurers
Cover for laparoscopic oophorectomy varies by insurer and by indication — usually funded when medically indicated. Risk-reducing BSO for BRCA or Lynch may need pre-authorisation with a genetics letter. We confirm cover before booking.
Frequently asked
Everything we get asked about laparoscopic removal of ovaries.
Quick answers on menopause, fertility, cost, recovery, and what to expect after surgery.
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Why do women have a laparoscopic oophorectomy?
Most commonly for a recurrent or complex ovarian cyst, a stubborn endometrioma, risk-reducing surgery for BRCA1, BRCA2 or Lynch syndrome, non-viable ovarian torsion, a benign ovarian tumour, or as part of a hysterectomy for malignancy. Occasionally for refractory hormone-driven pelvic pain when everything else has failed.
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Will I go into menopause after the surgery?
Only if both ovaries are removed and you are pre-menopausal. Removing one ovary usually does not cause menopause — the other continues to work. Bilateral removal before your natural menopause causes immediate surgical menopause, and HRT until around 50 is usually recommended unless there is a specific reason not to.
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How much does a private laparoscopic oophorectomy cost in the UK?
Roughly £4,000–£6,500 for one ovary, £5,500–£8,500 for bilateral salpingo-oophorectomy, and £6,000–£9,000 for risk-reducing BSO with the extra genetics and menopause input. When added to a hysterectomy it is usually £800–£1,500 on top of the hysterectomy fee.
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What happens to my fertility?
Bilateral oophorectomy ends natural fertility. If future biological children matter to you, we build in a fertility conversation — egg freezing, embryo freezing or ovarian-tissue preservation — before we book the operation. With one ovary removed and the other healthy, natural fertility usually continues.
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How long is the recovery?
Most women are home the same day or after one night. Desk work is realistic at one to two weeks. No heavy lifting, no driving until you can do an emergency stop, and no baths or swimming for four to six weeks while the port sites heal.
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What are the risks?
Bleeding, injury to the ureter or bowel, DVT or PE, incomplete resection with residual ovarian tissue (ovarian remnant syndrome), adhesions and port-site hernia. Serious complications are uncommon in experienced hands, and the anaesthetic and surgical team plan for each of them.
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Do I need HRT after bilateral removal?
If you are under about 50 at the time of bilateral oophorectomy, HRT until the natural age of menopause is usually recommended for cardiovascular, bone and cognitive protection — this follows NICE NG23. There are exceptions, particularly hormone-sensitive cancers, which is why the conversation happens before surgery, not after.
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Can I have this on the NHS?
Yes — laparoscopic oophorectomy for a genuine indication is routinely available on the NHS through a gynaecology referral from your GP. Private care usually offers a named consultant, faster timelines and more time for the menopause and fertility conversation. We help you decide which route fits.
Related treatments
Looking for something else?
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Laparoscopic ovarian cystectomy
Keyhole removal of the cyst, ovary preserved.
Learn more -
Hysterectomy
Removal of the uterus — options and recovery.
Learn more -
High-risk genetic cancers
BRCA1, BRCA2 and Lynch — screening and risk-reducing surgery.
Learn more -
All tests & procedures
Every test and procedure we arrange.
Learn more