Understanding Major Gynaecological Surgery - What to Expect
Facing surgery can be a daunting experience, but understanding what’s ahead can help reduce anxiety and promote a smoother recovery.
Major gynaecological surgery may be recommended to treat a range of conditions, from fibroids and endometriosis to prolapse or abnormal bleeding. Dr Kelly Hankins, specialist gynaecologist on the Central Coast, helps patients navigate these procedures with care, transparency, and expertise.
When Surgery is Recommended
Not every gynaecological condition requires surgery. Often, medications, physiotherapy, or lifestyle modifications are tried first. However, surgery may be advised if:
- Symptoms persist despite conservative management.
- There’s significant pain, bleeding, or structural changes.
- Fertility or quality of life is being affected.
Common reasons for surgery include:
- Fibroids are causing pain or heavy periods.
- Endometriosis is not responsive to medication.
- Pelvic organ prolapse.
- Ovarian cysts or tumours.
- Abnormal uterine bleeding or precancerous changes.
Common Types of Major Gynaecological Surgery
Some of the procedures Dr Hankins may recommend include:
- Hysterectomy (removal of the uterus).
- Myomectomy (fibroid removal).
- Endometriosis excision.
- Oophorectomy (removal of ovaries).
- Pelvic floor repair.
These can often be performed using minimally invasive laparoscopic or robotic-assisted techniques, which generally allow for faster recovery, less pain, and fewer scars compared to traditional open surgery.
Preparing for Surgery
Preparation is key to ensuring your surgery and recovery go smoothly. Before your procedure, Dr Hankins will:
- Explain the purpose and details of your surgery.
- Discuss risks, benefits, and expected outcomes.
- Organise pre-operative investigations such as blood tests or imaging.
- Review your medications and overall health.
You’ll also receive information on fasting, hospital admission, and what to bring on the day.
What to Expect on the Day
You’ll usually arrive at the hospital several hours before your scheduled procedure. The surgical and anaesthetic teams will confirm your details and ensure you’re comfortable before surgery begins.
During surgery, you’ll be under a general anaesthetic. The length of surgery varies by procedure.
Most patients stay in the hospital for one to two nights, though this may vary. Dr Hankins and her team monitor your recovery closely and guide you before you’re discharged home.
Recovery and Healing
Your recovery will depend on the type of surgery performed. In general:
- Laparoscopic and robotic surgery: shorter recovery, often returning to light activity within two weeks.
- Open surgery: may require four to six weeks before resuming normal activities.
Follow-up appointments are essential to ensure healing is progressing well. You’ll also receive advice on wound care, activity restrictions, and when to safely return to exercise, work, or sexual activity.
Partnering with a Specialist You Trust
Every woman’s surgical experience is different. Having a specialist who communicates clearly, listens to your concerns, and supports you through every stage of recovery can make a world of difference.
Dr Kelly Hankins combines advanced surgical expertise with compassionate care, helping women across the Central Coast access safe, modern treatment tailored to their needs.
Medical Disclaimer: This article is for general information and educational purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment, and does not establish a doctor-patient relationship. All medical procedures carry risks, and outcomes vary between individuals. Always seek the advice of your GP, specialist, or another appropriately qualified health professional with any questions you may have regarding a medical condition or treatment. Where further or specialised care is required, your treating practitioner can provide an appropriate referral.