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Gynaecological surgery in Paris: indications, techniques, recovery

By Dr Olivier Kadoch, obstetrician-gynaecologist · Updated 25/10/2026

In brief

Gynaecological surgery, performed in Paris (5th and 16th arrondissements) and Neuilly-sur-Seine, treats fibroids, ovarian cysts, endometriosis, polyps, prolapse and some cancers. Most procedures are performed by laparoscopy (keyhole surgery through small cuts in the abdomen) or hysteroscopy (through the vagina and cervix, with no cuts), with a short hospital stay, often as a day case. Each indication is discussed at the consultation, together with the medical alternatives, and a written quote is given before the operation.

Gynaecological surgery in Paris: the main procedures

ProcedureIndicationsApproachHospital stay
MyomectomySymptomatic fibroids, wish to become pregnantLaparoscopy, hysteroscopy, laparotomyUsually: day surgery or under 3 days (hysteroscopy), 2 to 3 days (laparoscopy), 3 to 5 days (laparotomy)
Ovarian cystectomyPersistent cysts, endometriomasLaparoscopyUsually: day surgery to 2 days
Operative hysteroscopyPolyps, submucosal fibroids, uterine septaThrough the vagina (no incision)Usually: day surgery, sometimes up to 3 days for a fibroid
Excision of endometriosisPain, deep endometriosis, infertilityLaparoscopyUsually: 1 to 7 days depending on the extent of the disease
HysterectomyFibroids, bleeding, prolapse, cancerLaparoscopy, vaginal route, open surgery (laparotomy)Usually: 2 to 4 days (laparoscopy, vaginal), 3 to 6 days (laparotomy)
Prolapse repairBothersome pelvic organ prolapseVaginal, laparoscopyUsually: about 3 days by the vaginal route; specified at the consultation for laparoscopy

Your care pathway, from consultation to discharge

Laparoscopy: set-up — Positions of surgeon, assistants, anaesthetist and screen; trocar entry sites (1 to 4).
Gynaecological surgeryLaparoscopy: set-upPositions of surgeon, assistants, anaesthetist and screen; trocar entry sites (1 to 4).Illustration: Guillaume Blanchet · © Dr Olivier Kadoch
  1. 1Consultation and assessment. Examination, ultrasound, further imaging (MRI) if needed, and discussion of medical alternatives.
  2. 2Information and consent. A written information sheet, time to think it over, and a pre-operative anaesthetic consultation.
  3. 3Surgery. At the Hôpital privé Geoffroy Saint-Hilaire (Paris 5th), the Clinique de la Muette (Paris 16th) or the Clinique Ambroise Paré (Neuilly-sur-Seine); cancer surgery is carried out at the Clinique Ambroise Paré. Most procedures are done under general anaesthetic.
  4. 4Follow-up. Post-operative consultation, pathology results, guided return to normal activities.

Frequently asked questions

Does laparoscopy leave scars?

A few 5 to 10 mm incisions on the abdomen, one of them in the navel, usually discreet once healed.

Can I keep my uterus if I have fibroids?

Often, yes: medical treatment, myomectomy or embolisation, depending on their size, number and location and on your pregnancy plans.

When can I go back to work?

As a guide, time off work is usually a few days to 10 days after operative hysteroscopy, 7 to 21 days after laparoscopy for an ovarian cyst, 2 to 4 weeks after laparoscopic myomectomy (4 to 8 weeks by laparotomy), about one month after laparoscopic or vaginal hysterectomy, and 2 to 6 weeks after endometriosis surgery depending on its extent. These timeframes also depend on your job; they are not a guarantee and are tailored to each patient at the consultation.

Is the procedure covered by health insurance?

In France, medically indicated procedures are reimbursed by the Assurance maladie (French national health insurance); a written estimate details any additional fees above the standard rate.

How long will I stay in hospital?

As a guide: usually a day case for operative hysteroscopy, from a day case to 2 days for laparoscopy for an ovarian cyst, 2 to 3 days for laparoscopic myomectomy, 2 to 4 days for a laparoscopic or vaginal hysterectomy, and 1 to 7 days for endometriosis surgery depending on its extent. The expected stay for your operation is discussed at the consultation.

When can I return to sport and sex?

Generally: after operative hysteroscopy, sport is possible straight away (except swimming) and sex after about a fortnight; after laparoscopy for a cyst, sport after about 3 weeks; after a hysterectomy, no heavy lifting for 6 weeks and no sex for 4 to 8 weeks; after endometriosis surgery, sex after 3 to 4 weeks. The post-operative consultation, usually 4 to 6 weeks after the operation, reviews your return to activities and, if you wish, how long to wait before a pregnancy.

References

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