Precision surgery, when it's needed.
From minimally invasive in-office procedures to advanced laparoscopic surgery, we choose the treatment that fits your diagnosis, with care for you and your goals.
Treatment built around your diagnosis
We recommend a procedure only after we understand what is causing your symptoms or fertility concerns. Where a less invasive option can do the job, that is where we start.
When surgery is the right step, we aim to diagnose and treat in as few procedures as possible, so you spend less time recovering and more time getting back to your life.
Procedures we offer
Endometriosis excision
Excision removes endometriosis lesions completely rather than burning the surface. Performed laparoscopically, it lets us confirm the diagnosis and treat it in the same procedure. Many surgeons favor thorough excision, especially for deep or extensive disease, because it removes the disease itself rather than treating only its surface.
Learn more about excision surgery →Fallopian tube recanalization
When an HSG shows a blockage near the uterus, selective salpingography and recanalization can often reopen the tube using a thin catheter guided by imaging, without an incision. Not every blockage is a candidate, so your provider will review your imaging first.
Learn more about recanalization →Laparoscopic myomectomy
Myomectomy removes uterine fibroids that may be causing heavy bleeding, pain, or infertility while leaving the uterus in place. Done laparoscopically, it typically means a shorter recovery than open surgery. Not all fibroids need removal, and we'll help you decide whether yours are likely contributing to your symptoms.
Learn more about myomectomy →Tubal ligation reversal
For patients who have had their tubes tied and now wish to conceive, microsurgical reversal reconnects the healthy segments of the fallopian tube. Candidacy depends on the original method of ligation and the remaining tube length, and an evaluation helps determine whether reversal or IVF is the better path.
Learn more about reversal →Essure removal
Essure is a permanent birth control device that some patients later choose to have removed, whether for symptoms attributed to the device or to restore fertility. Removal is typically laparoscopic and often includes removing the affected portion of the fallopian tube. We review your imaging and history to plan the safest, most complete approach.
Learn more about Essure removal →PRP (platelet-rich plasma) therapy
PRP uses platelets concentrated from your own blood, introduced to the ovaries or uterine lining, and is being studied for effects on ovarian response and endometrial receptivity. For fertility, it is still considered investigational and is not FDA-approved for this use, so we walk through the current evidence with you honestly.
Learn more about PRP →Looking for something else?
This list covers the procedures patients ask about most. We also treat pelvic adhesions, ovarian cysts, and cesarean scar defects, among other conditions. If you don't see your situation here, reach out and we'll tell you whether we can help.
Our surgical approach
Dr. Ashley Womack completed a two-year fellowship in complex minimally invasive gynecologic surgery, including advanced robotic surgical training. We favor the least invasive option that addresses the cause, aiming to diagnose and treat in as few procedures as possible, with smaller incisions, faster recovery, and protection of your fertility.
Our full list of surgical procedures
Beyond the procedures above, our surgical team performs the following. If you are scheduled for surgery, you can download the pre-surgery form below.