Whether you need to remove one ovary or both — for ovarian cancer, a cyst, endometriosis, or BRCA-positive risk reduction — Medifly connects you with senior gynaecological surgeons at NABH & JCI-accredited hospitals. Laparoscopic or open. Therapeutic or prophylactic. From ₹60,000 all-inclusive.
An oophorectomy is the surgical removal of one or both ovaries. It is one of the most common gynaecological surgeries worldwide, performed for a wide range of reasons — from treating ovarian cysts, cancer, endometriosis, and ectopic pregnancy, to preventing ovarian cancer in women with BRCA1 or BRCA2 gene mutations.
Today, the vast majority of oophorectomies are performed laparoscopically — through 3–4 tiny incisions using a camera and specialised instruments. The procedure is done under general anaesthesia and typically takes 45–90 minutes. Most patients go home the next day. Open surgery (laparotomy) is reserved for complex cases such as large masses, suspected malignancy requiring staging, or dense adhesions.
At Medifly Healthcare's partner hospitals in Chennai, senior gynaecological oncology surgeons with 15–30 years of experience perform hundreds of laparoscopic and open oophorectomies every year at NABH and JCI-accredited hospitals — at a fraction of what the same surgery costs in the USA, UK, or Singapore. Whether you are coming from abroad or from a smaller Indian city, Medifly coordinates your full pathway from consultation through surgery to follow-up. Related procedures: hysterectomy → | endometriosis surgery →
Whether you have been told you need an oophorectomy for ovarian cancer, a large cyst, or you are BRCA-positive and considering prophylactic removal — these are the real questions. Here is the truth.
Only if both ovaries are removed (bilateral oophorectomy). If that is necessary — especially in premenopausal women — surgical menopause begins immediately: hot flushes, mood changes, and bone-density loss can begin within days. This is manageable. Hormone Replacement Therapy (HRT) is highly effective and is routinely started immediately after bilateral oophorectomy in premenopausal patients at Medifly's partner hospitals.
Our gynaecology team coordinates with an endocrinologist before surgery to have an HRT plan ready on day one for all premenopausal bilateral oophorectomy patients.
Pre-operative imaging (pelvic ultrasound, MRI, CT) and tumour markers (CA-125, HE4) help stratify risk. If malignancy is suspected, Medifly arranges a full multidisciplinary oncology review before your surgery date is confirmed. For confirmed cancer cases, full staging surgery — including lymph node sampling and peritoneal assessment — is performed at the same operation by a gynaecological oncologist.
All ovarian masses are reviewed by a tumour board before surgery. Frozen section analysis is performed intraoperatively — if cancer is found, staging proceeds immediately without a second operation.
In the USA, laparoscopic oophorectomy costs USD 8,000–25,000 out of pocket. In the UK privately, £6,000–£18,000. NHS waiting lists are 4–9 months for elective gynaecological surgery. In India, the same laparoscopic procedure costs ₹60,000–₹1,80,000 (USD 720–2,200) with 1–2 weeks from enquiry to surgery at Medifly.
Send your scans and reports via WhatsApp. Within 24 hours you receive a written cost breakdown, hospital recommendation, and a surgery timeline — no fee, no obligation.
International patients worry about logistics — and rightly so. Coordinating a hospital abroad, organising a medical visa, knowing when it is safe to fly home, and finding reliable follow-up at home is genuinely complex. Medifly manages all of this for patients from 20+ countries as a matter of routine.
Medifly provides a medical visa invitation letter, airport pickup, hospital admission support, daily care coordinator contact, discharge summary, and coordination with your home doctor. Most international patients fly home 5–7 days after laparoscopic oophorectomy.
Unilateral oophorectomy (removing only one ovary) preserves fertility in most cases — the remaining ovary continues to produce eggs and hormones normally. If bilateral oophorectomy is medically necessary and you are premenopausal, fertility preservation — egg or embryo freezing — can be arranged before surgery. Medifly coordinates with reproductive medicine specialists at the same partner hospitals.
We connect every premenopausal patient considering bilateral oophorectomy with a fertility specialist before confirming the surgery plan — so you have all options on the table.
This is the most important question to ask — and Medifly takes it seriously. All gynaecological surgeons in Medifly's network are MCh/DNB Gynaecological Oncology or MS Obstetrics & Gynaecology specialists with 15–30 years of experience, fellowship training in minimally invasive surgery, and active practices at NABH or JCI-accredited hospitals. Every surgeon's profile is verified and available on request.
Every patient receives the assigned surgeon's full credential profile before confirming the surgery date. No surprises, no junior registrars performing your operation unsupervised.
Medifly is not a hospital directory. We are an end-to-end patient coordination service that holds your hand from the moment you send your first WhatsApp message to the day you are discharged and safely back home.
Access to MCh / DNB-qualified gynaecological oncologists and advanced laparoscopic surgeons at NABH & JCI hospitals in Chennai — surgeons who perform 300–500 oophorectomies per year.
Suspected or confirmed ovarian malignancy is reviewed by a tumour board — gynaecological oncology, radiology, and pathology — before your surgical date is fixed.
For patients from abroad — medical visa letter, airport pickup, hospital check-in support, daily care coordinator, discharge planning, and coordination with your home doctor.
For premenopausal women facing bilateral oophorectomy — Medifly coordinates endocrinology consultation for HRT planning and reproductive medicine for fertility preservation if desired.
No hidden costs. Your written quote covers surgeon fee, anaesthesia, hospital stay, pre-op investigations, and post-op review. 70–85% lower than USA, UK, or Singapore for equivalent care.
From your first WhatsApp message to surgery date in as little as 1–2 weeks — compared to 4–9 months on NHS waiting lists or 6+ months in Canada or Australia for elective gynaecological surgery.
Understanding exactly what occurs in the operating theatre removes fear and builds confidence. Here is what the surgeon does from the moment you are anaesthetised to the moment the incisions are closed.
General anaesthesia is administered. You are positioned in Trendelenburg (head slightly down) to shift the bowel away from the pelvis. Bladder catheter inserted. Abdomen cleaned and draped.
A Veress needle introduces CO₂ gas into the abdomen, creating space (pneumoperitoneum). A 10–12 mm port is inserted at the navel for the camera. Two or three 5 mm ports for instruments — completed in under 10 minutes.
The camera reveals the pelvis in magnified HD. The ovary and its blood supply (infundibulopelvic ligament and ovarian ligament) are identified. Vessels are ligated using harmonic scalpel, LigaSure, or clips. The ovary is freed from all attachments.
The freed ovary is placed inside a sealed retrieval bag — critical to prevent spillage if cancer is present. The bag is withdrawn through the umbilical port. Ports removed. CO₂ released. Incisions closed with dissolving sutures — no stitches to remove.
Total operating time: 45–90 minutes for laparoscopic oophorectomy · Hospital stay: 1–2 nights · Discharge: Next morning with oral pain relief · Return to light work: 1–2 weeks · Full activity: 4–6 weeks
Oophorectomy is not one-size-fits-all. The type of procedure depends on your diagnosis, whether one or both ovaries are affected, and what other structures need to be addressed at the same operation.
Removal of one ovary through 3–4 tiny incisions. The most common oophorectomy performed globally. Ideal for benign ovarian cysts, endometriomas, borderline tumours, or ectopic pregnancy involving the ovary. The remaining ovary maintains normal hormone production and, in most cases, fertility.
Gold standard · 1–2 day stayBoth ovaries removed laparoscopically. Performed for bilateral ovarian disease, bilateral endometriomas, BRCA1/BRCA2 prophylaxis, or as part of cancer treatment. Causes immediate surgical menopause — HRT is planned pre-operatively for premenopausal patients.
Bilateral · HRT plannedBoth ovaries and both fallopian tubes removed simultaneously. The standard prophylactic procedure for BRCA1/2 carriers (recommended by age 35–40 for BRCA1, 40–45 for BRCA2). Also performed as part of total hysterectomy for uterine or ovarian cancer, and for severe endometriosis.
BRCA prophylaxis · CancerPerformed using the da Vinci robotic system at select partner hospitals. Offers magnified 3D vision, tremor filtration, and articulating instruments for precision in complex cases — dense adhesions, large masses, obese patients, or prior pelvic surgery. Same-size ports as standard laparoscopy.
Complex cases · Select centresA 10–15 cm incision (pfannenstiel or midline) is used when laparoscopy is contraindicated — very large ovarian masses, haemodynamic instability (ruptured ectopic), or when full staging for malignancy is required with direct manual palpation of lymph nodes and peritoneum.
Complex · Full stagingWhen both the uterus and ovaries need to be removed — for uterine cancer, advanced endometriosis, or uterine fibroids with co-existing ovarian pathology — a combined total hysterectomy with bilateral salpingo-oophorectomy (TH + BSO) is performed at a single operation. See hysterectomy →
Combined · One operationWhether therapeutic or prophylactic, oophorectomy is recommended when the benefit of removing the ovary clearly outweighs the risk of keeping it. Here are the most common indications.
The primary surgical treatment — unilateral for early-stage, bilateral with full staging for advanced disease.
Cysts >5 cm, complex cysts, endometriomas, or those causing pain unresponsive to medical therapy.
Risk-reducing bilateral salpingo-oophorectomy dramatically reduces lifetime ovarian and breast cancer risk.
When ovarian endometriomas are large, recurrent, or causing infertility — oophorectomy may be recommended after exhausting conservative options.
When a fallopian tube ectopic has ruptured into the ovary, or when the tube is extensively damaged — oophorectomy alongside salpingectomy.
If the ovary has twisted on its pedicle and is non-viable — oophorectomy prevents gangrenous tissue and systemic infection.
Low malignant potential tumours — unilateral oophorectomy preserves the other ovary and fertility in younger women.
Oophorectomy to reduce oestrogen in premenopausal women with hormone-receptor-positive breast cancer (surgical oophorectomy as an alternative to ovarian suppression injections).
When a severe pelvic infection destroys ovarian tissue — oophorectomy removes the source of sepsis.
Rarely, in extreme cases where medical and surgical management has failed — oophorectomy considered in selected patients.
Hereditary colorectal cancer syndrome also elevates ovarian cancer risk — prophylactic oophorectomy considered after childbearing.
Bilateral oophorectomy as part of gender-affirming hysterectomy and gonadectomy in transgender men — performed with full hormonal and psychological support.
Oophorectomy is a well-established, safe procedure — but any surgery has potential risks. Here is a clear-eyed account so you can make a fully informed decision.
Most women requiring oophorectomy are suitable for the laparoscopic approach. Eligibility depends on the nature of the ovarian pathology, body habitus, and prior surgical history.
Ovarian cysts up to 10–12 cm, confirmed endometrioma, prophylactic oophorectomy (BRCA), borderline ovarian tumour, no prior multiple abdominal surgeries, BMI <40. These patients experience the full benefit of minimal-access surgery.
Dense pelvic adhesions from prior surgery or endometriosis, BMI 40–50, previous C-sections (up to 3), cysts 10–15 cm. Experienced laparoscopic surgeon with open backup. Medifly ensures the assigned surgeon has appropriate case volume for your complexity level.
Masses >15 cm, strongly suspected or confirmed ovarian malignancy requiring full staging, haemodynamic instability (ruptured ectopic), very densely adherent bowel, or when frozen section confirms invasive cancer mid-laparoscopy requiring extended staging.
Women under 40 with unilateral ovarian cancer (Stage IA), borderline ovarian tumours, or benign pathology who wish to preserve fertility — unilateral oophorectomy or cystectomy (cyst removal with ovary preserved) where oncologically safe.
Premenopausal women requiring bilateral oophorectomy undergo endocrinology review before surgery. HRT prescription is ready at discharge. Women with hormone-sensitive breast cancer are evaluated by a breast oncologist regarding HRT safety before prescribing.
Pelvic ultrasound (mandatory), CA-125 and HE4 tumour markers, MRI pelvis if complex mass, blood count and coagulation screen, ECG and anaesthetic review. All arranged by Medifly on arrival — no need to organise separately.
Whether you are in London, Lagos, or Lucknow — here is exactly how Medifly takes you from first contact to full recovery, in the fewest steps possible.
WhatsApp your scan reports, blood results, and medical history to +91 99449 38508. No referral letter needed. Takes 5 minutes.
A senior gynaecological surgeon reviews your case. You receive a written assessment — diagnosis, recommended procedure, type (laparoscopic/open), and an all-inclusive cost.
Medifly arranges airport pickup and hospital check-in. Pre-operative investigations (blood work, ultrasound, ECG, anaesthesia review) are completed on your arrival day or day 2.
Surgery performed by your assigned senior surgeon. Laparoscopic: 45–90 mins, 1–2 nights hospital. Open: 1–2 hrs, 3–5 nights. Daily care coordinator check-ins throughout your stay.
Discharge summary, pathology report, and e-records provided. International patients: fly home day 5–7 (laparoscopic). Follow-up arranged with your home doctor, with Medifly available by WhatsApp.
The same laparoscopic oophorectomy performed by an equivalent or better-qualified specialist costs 70–85% less in India than in the USA, UK, or Singapore. Here is an honest, transparent breakdown.
| Procedure | Cost in India |
|---|---|
| Laparoscopic Unilateral Oophorectomy | ₹60,000 – ₹1,20,000 |
| Laparoscopic Bilateral Oophorectomy | ₹80,000 – ₹1,80,000 |
| Bilateral Salpingo-Oophorectomy (BSO) | ₹90,000 – ₹2,00,000 |
| Total Hysterectomy + BSO (TH+BSO) | ₹1,50,000 – ₹3,00,000 |
| Robotic-Assisted Oophorectomy | ₹1,80,000 – ₹2,80,000 |
| Open Oophorectomy (Laparotomy) | ₹1,00,000 – ₹2,20,000 |
India's price advantage: not lower quality — lower operating costs, lower malpractice insurance, and a national gynaecological surgical training pipeline that produces 3,000+ specialist surgeons per year at premier institutions including AIIMS, CMC Vellore, and NIMHANS.
Whether you are travelling from abroad or from another Indian city, here is everything you need to prepare for your oophorectomy — so there are no surprises on the day.
Medifly is not just a hospital referral service. We are a full patient coordination partner that stays with you from first WhatsApp message to long-term follow-up.
Every hospital in Medifly's network holds NABH or JCI accreditation — the same international quality standards used in leading Western hospitals.
Every gynaecologist in our network has their credentials individually verified — MCh/DNB qualification, years of experience, and case volume are shared with each patient.
Send your reports via WhatsApp at any time. A senior gynaecological surgeon reviews your case and sends a written assessment within 24 hours — free of charge.
Written all-inclusive quote before you commit. No surprise fees at discharge. 70–85% lower than USA/UK for equivalent care.
UK, USA, Canada, Australia, UAE, Nigeria, Kenya, Bangladesh, Sri Lanka, and 10+ more. Medifly has a proven international patient pathway with visa support built in.
Medifly does not disappear after discharge. Post-operative coordination, pathology review, oncology follow-up, and HRT management are all part of the ongoing relationship.
Laparoscopic unilateral oophorectomy costs ₹60,000–₹1,20,000 (USD 720–1,450). Bilateral oophorectomy: ₹80,000–₹1,80,000. Bilateral salpingo-oophorectomy (BSO): ₹90,000–₹2,00,000. Total hysterectomy with BSO: ₹1,50,000–₹3,00,000. All figures are all-inclusive (surgeon, anaesthesia, 1–3 night hospital stay, pre-op investigations, post-op review). This is 70–85% lower than USA, UK, or Singapore for equivalent surgery by equivalent or better-qualified specialists. Send your reports to +91 99449 38508 for a written personalised quote within 24 hours.
Yes. Laparoscopic oophorectomy is the gold-standard approach for most ovarian conditions. It has been performed globally for over 30 years with an excellent safety record. Major complication rate is below 2% in experienced hands. At Medifly's partner hospitals, senior laparoscopic gynaecologists with 300–500 annual cases perform this procedure — their complication rates are below national and international benchmarks. All hospitals are equipped with intensive care units for the rare event of a serious complication.
Only if both ovaries are removed (bilateral oophorectomy). Removing one ovary (unilateral oophorectomy) does not cause menopause — the remaining ovary maintains normal hormonal function. If bilateral oophorectomy is necessary in a premenopausal woman, surgical menopause begins immediately — hot flushes, night sweats, and mood changes can start within days. This is effectively managed with Hormone Replacement Therapy (HRT), which is prescribed before discharge at Medifly's partner hospitals. Appropriately managed HRT in premenopausal women largely mitigates the cardiovascular and bone risks of early menopause.
Hospital discharge: 1–2 nights. Return home (international): day 5–7. Light activity (short walks, self-care): day 2–3. Desk work: 1–2 weeks. Driving: 2 weeks. Light exercise: 3–4 weeks. Full physical activity including gym and heavy lifting: 4–6 weeks. Open oophorectomy recovery is longer: 3–5 nights hospital, 4–6 weeks before desk work, 6–8 weeks full activity. Most patients report the recovery is significantly easier than they expected from laparoscopic surgery.
After unilateral oophorectomy (one ovary removed): yes, in most cases. The remaining ovary continues to produce eggs and ovulate. Conception can occur naturally or through IVF. Pregnancy rates may be slightly reduced but remain good. After bilateral oophorectomy (both ovaries removed): natural conception is no longer possible. However, if eggs or embryos were frozen before surgery, IVF using these frozen eggs (with a surrogate if the uterus was also removed) remains an option. Medifly coordinates fertility preservation consultation before any bilateral oophorectomy for women who wish to have children.
After laparoscopic oophorectomy: most international patients are cleared to fly home on day 5–7 after surgery. We recommend a short-haul flight (up to 6 hours) without restrictions; for long-haul flights (over 7 hours), compression stockings and in-flight mobility are recommended, and most patients are cleared for this from day 7 onwards. After open oophorectomy: typically day 10–14 before long-haul flying, depending on wound healing. Medifly's surgeon provides a specific fitness-to-fly letter with each patient's discharge summary.
BRCA1 carriers have a 39–46% lifetime risk of ovarian cancer; BRCA2 carriers have a 10–27% risk. Risk-reducing bilateral salpingo-oophorectomy (RRSO) reduces ovarian cancer risk by approximately 80–96% and — in premenopausal BRCA1 carriers — also reduces breast cancer risk by approximately 50%. Major international guidelines (NCCN, ESGO, RCOG) recommend RRSO by age 35–40 for BRCA1 carriers and 40–45 for BRCA2. Whether this is the right decision for you specifically depends on your age, family history, whether you have completed your family, and your personal risk tolerance. Medifly arranges a comprehensive genetic counselling review alongside the gynaecological oncology consultation so you have all information before deciding.
A positive genetic test result is not an emergency — but it requires prompt expert counselling. Medifly arranges a gynaecological oncologist + genetic counsellor joint review to help you decide on timing and approach for prophylactic oophorectomy.
Pain that hasn't resolved with medication, or an ultrasound showing a cyst >5 cm, complex echogenicity, or solid components — these warrant a specialist review. Don't wait months on a waiting list.
NHS UK, Canadian, Australian, and many European healthcare systems have 4–9 month waits for elective gynaecological surgery. For a growing ovarian cyst or confirmed pathology, that wait is neither comfortable nor safe. Medifly arranges surgery within 1–2 weeks.
If you are uninsured, underinsured, or facing a USD 12,000–25,000 out-of-pocket bill in the USA — the same surgery in India costs ₹60,000–₹1,80,000. The savings alone typically cover your entire international travel and accommodation.
If you have been told open surgery is the only option in your city, or that your cyst is "too complex" for laparoscopy — Medifly's senior laparoscopic gynaecologists handle complex cases routinely that other surgeons convert to open.
If you are in a smaller Indian city without a gynaecological oncology specialist, Medifly arranges your complete pathway in Chennai — consultation, surgery, and follow-up — at Indian hospital rates, with coordination handled by us.
The decision deserves the best information. A senior gynaecological surgeon reviews your reports within 24 hours and gives you a written, honest assessment — whether oophorectomy is appropriate, what type suits your case, what it will cost, and how soon we can arrange it. No fee. No obligation. Only clarity.
Send your reports today via WhatsApp. Within 24 hours, a senior gynaecological surgeon tells you whether oophorectomy is appropriate, which type suits your case, exactly what it will cost, which Chennai hospital fits your needs, and how soon we can arrange it. Then — if you choose to proceed — we coordinate every detail from visa to surgery to lifelong follow-up. Explore: hysterectomy → · all gynaecology procedures →