Oophorectomy Surgery in Delhi, India

Oophorectomy (or ovary removal surgery) may be recommended when a problem affecting one or both ovaries causes ongoing symptoms, does not improve with treatment, or poses a risk to health. The aim of surgery is to treat the underlying condition while preventing further complications.

This procedure may be considered when:

• Ovarian cysts cause persistent symptoms: Cysts that are large, painful, or keep returning despite treatment may need surgical removal.
• Growths or tumours are found in the ovary: Surgery may be advised when imaging raises concern about the nature of an ovarian mass.
• There is a diagnosis or high risk of ovarian cancer: Oophorectomy may be part of cancer treatment or recommended to reduce future cancer risk in high-risk individuals.
• Endometriosis affects the ovaries: Severe endometriosis involving the ovaries can cause ongoing pain and may require surgical treatment if other options fail.
• Ovarian torsion occurs: Sudden twisting of the ovary can cut off blood supply and may require urgent surgery.
• Chronic infection does not respond to treatment: In rare cases, long-standing infection involving the ovaries may make surgery necessary.

The decision to proceed with oophorectomy is made after careful assessment and discussion, taking into account symptoms, test results, age, and long-term health considerations.

The type of oophorectomy recommended depends on the underlying condition, whether one or both ovaries are affected, and the patient’s age, symptoms, and long-term health considerations. After clinical evaluation and imaging, the most appropriate approach is chosen to address the problem while preserving hormonal balance where possible.

Unilateral Oophorectomy

In a unilateral oophorectomy, one ovary is removed, while the other ovary is left intact.

When it is done:

This option may be recommended when a cyst, tumour, or other condition affects only one ovary. Preserving the healthy ovary allows normal hormone production to continue and may help maintain fertility in premenopausal women.

Bilateral Oophorectomy

A bilateral oophorectomy involves removal of both ovaries.

When it is done:

This may be advised in cases of ovarian cancer, severe disease affecting both ovaries, or as a preventive measure in individuals at high risk of ovarian or breast cancer. Removal of both ovaries results in loss of ovarian hormone production, which is discussed in detail before surgery.

Salpingo-Oophorectomy

In this procedure, the ovary and the fallopian tubeon the same side are removed together. It can be unilateral (one side) or bilateral (both sides).

When it is done:

Salpingo-oophorectomy is commonly performed in cancer treatment, to reduce future cancer risk, or when disease involves both the ovary and fallopian tube.

Oophorectomy can be performed using different surgical approaches, depending on the underlying condition, the extent of disease, and the patient’s overall health. The chosen approach aims to ensure safe removal of the ovary while supporting faster recovery and minimal discomfort wherever possible.

Laparoscopic Oophorectomy

Laparoscopic oophorectomy is a minimally invasive technique performed through small incisions using a camera and specialised instruments.

When it is used:

This approach is commonly recommended for benign ovarian conditions, preventive surgery, or selected early-stage cancers.

Benefits may include:

• Smaller incisions and minimal scarring
• Less post-operative pain
• Shorter hospital stay
• Faster return to daily activities

Robotic-Assisted Oophorectomy

Robotic-assisted oophorectomy is an advanced form of minimally invasive surgery that allows surgeons enhanced precision and control.

When it is used:

This approach may be preferred in complex cases or when precise dissection is required.

Potential advantages:

• Improved surgical accuracy
• Better visualisation of pelvic structures
• Reduced impact on surrounding tissues

Open (Abdominal) Oophorectomy

Open oophorectomy is performed through a larger abdominal incision.

When it is used:

This approach may be necessary in cases involving large tumours, extensive disease, advanced cancer, or when minimally invasive surgery is not suitable.

The most appropriate surgical approach is decided after careful evaluation, ensuring that the method chosen aligns with the patient’s condition, safety requirements, and recovery goals.

Oophorectomy is a commonly performed and generally safe procedure. However, as with any surgery, it carries certain risks. Most patients recover without significant complications, but it is important to understand the potential issues that may occur during or after surgery.

Risk of infection

Infection at the surgical site or within the pelvis is uncommon and is reduced through sterile surgical techniques, antibiotics, and careful post-operative care.

Risk of bleeding

Minor bleeding is expected during surgery, while significant bleeding is uncommon and managed promptly if it occurs.

Risk of injury to surrounding organs

Nearby structures such as the bladder, bowel, or blood vessels may rarely be affected during surgery, particularly in complex cases or when extensive disease is present.

Risk related to anaesthesia

Reactions to anaesthesia, nausea, or breathing-related issues may occur but are usually temporary and closely monitored.

Hormonal changes

Removal of one ovary may have little effect on hormone levels, but removal of both ovaries can lead to sudden hormonal changes. This may result in menopausal symptoms such as hot flashes, mood changes, or vaginal dryness, especially in premenopausal women.

Long-term health considerations

In cases of bilateral oophorectomy, reduced oestrogen levels may affect bone health and cardiovascular health over time. These risks are discussed in advance, and appropriate preventive measures may be recommended.

At Max Hospitals, our specialists discuss these risks in detail before surgery and follow structured measures to reduce the likelihood of complications.

Understanding the steps involved in oophorectomy can help patients feel more prepared and confident about the procedure. The surgical journey typically includes careful preparation before surgery, the day of the procedure, and structured post-operative recovery and follow-up.

Pre-Operative Preparation

Before surgery, a thorough evaluation is carried out to ensure that oophorectomy is appropriate and safe.

• Medical evaluation and imaging: A detailed clinical assessment is performed, supported by imaging tests such as ultrasound or scans, to evaluate the ovaries and plan the surgery.
• Assessment of fitness for surgery: Overall health is reviewed to confirm fitness for anaesthesia and surgery. This may include blood tests and other assessments as required.
• Medication review: Current medications are reviewed, and patients are advised if any medicines need to be adjusted or temporarily stopped before surgery.
• Pre-surgery counselling and planning: The surgical plan, possible hormonal effects, and recovery expectations are discussed. Patients are also guided on practical preparations for the recovery period.

On the Day of Surgery

The focus on the day of surgery is to ensure comfort, safety, and a smooth surgical experience.

• Hospital admission and anaesthesia: Patients are admitted to the hospital and prepared for surgery. Anaesthesia is administered to ensure the procedure is performed without pain.
• Overview of the surgical procedure: The surgeon removes the ovary or ovaries using the planned surgical approach, taking care to protect surrounding structures.
• Immediate post-surgery monitoring: After surgery, patients are monitored in a recovery area to assess vital signs, pain levels, and early recovery before being moved to a hospital room.

Post-Operative Care and Recovery

Recovery begins soon after surgery and focuses on healing, comfort, and a gradual return to daily activities.

• Pain management: Post-operative discomfort is managed with appropriate medication and supportive care.
• Early mobilisation: Patients are encouraged to start moving as soon as it is safe, which helps reduce complications and supports recovery.
• Follow-up visits and ongoing care: Follow-up appointments are scheduled to monitor healing, discuss pathology results if applicable, and address any concerns during recovery.

Life after oophorectomy varies depending on whether one or both ovaries are removed, as well as a person’s age and overall health. Most patients experience gradual physical recovery and are able to return to normal routines with appropriate follow-up care and guidance.

After surgery, many patients notice relief from symptoms related to the underlying condition, such as pelvic pain or discomfort. Daily activities can usually be resumed gradually, based on individual recovery and the type of surgical approach used.

If one ovary is removed, the remaining ovary often continues to produce hormones, and long-term hormonal effects may be minimal. Menstrual cycles and fertility may be preserved in premenopausal women.

If both ovaries are removed, hormonal changes occur due to reduced oestrogen levels. This can lead to menopausal symptoms such as hot flashes, mood changes, or vaginal dryness, particularly in younger patients. These changes are discussed in advance, and appropriate management options may be recommended where suitable.

Regular follow-up appointments help monitor recovery, manage symptoms, and address any long-term health considerations such as bone or cardiovascular health. Maintaining a balanced lifestyle, staying physically active, and following medical advice support overall wellbeing after oophorectomy.

With proper care and support, most patients adapt well and experience improved comfort and quality of life following oophorectomy.

Choosing the right hospital for oophorectomy plays an important role in safety, recovery, and long-term wellbeing. If you are considering oophorectomy, the following points outline what you can expect from care at Max Hospitals.

Experienced gynaecology specialists

Oophorectomy at Max Hospitals is performed by experienced gynaecologists and gynaecologic oncologists who manage a wide range of ovarian conditions, from benign disorders to complex cancer-related cases. Their experience supports accurate diagnosis and appropriate surgical planning.

Minimally invasive expertise

Where suitable, surgeons use minimally invasive and robotic-assisted techniques to reduce surgical trauma, support faster recovery, and minimise post-operative discomfort.

Careful surgical planning

Each procedure is planned after detailed clinical evaluation and imaging, ensuring the surgical approach is tailored to the patient’s condition, age, and long-term health considerations.

Comprehensive perioperative care

Care extends beyond the operation itself. Patients receive structured support before surgery, during hospital stay, and through recovery, with clear guidance at every stage.

Focus on hormonal and long-term health

Special attention is given to the hormonal and long-term health implications of oophorectomy, particularly when both ovaries are removed. Patients are counselled thoroughly and supported with appropriate follow-up care.

Patient-centred approach

At Max Hospitals, care is delivered with an emphasis on clear communication, informed decision-making, and emotional support, helping patients and families feel confident throughout the treatment journey.

Through a balanced approach that combines clinical expertise, advanced techniques, and coordinated care, Max Hospitals aims to deliver safe outcomes and meaningful improvement in quality of life after oophorectomy.

Will removing one ovary affect my hormones or periods?

In most cases, removing one ovary does not significantly affect hormone levels or menstrual cycles, as the remaining ovary continues to function normally.

Will I enter menopause after oophorectomy?

Menopause occurs only if both ovaries are removed. If one ovary remains, menopause does not usually occur immediately as a result of surgery.

Can I still get pregnant after an oophorectomy?

Pregnancy may still be possible if one ovary is preserved and the reproductive system is otherwise healthy. Fertility is not possible if both ovaries are removed.

How long does it take to recover from oophorectomy?

Recovery time depends on the surgical approach. Many patients resume light activities within a few weeks after minimally invasive surgery, while open surgery may require a longer recovery period.

Will I need hormone replacement therapy after surgery?

Hormone therapy may be considered if both ovaries are removed, especially in younger women. The need for treatment depends on age, symptoms, and overall health.

Is oophorectomy a major surgery?

Oophorectomy is a significant surgical procedure, but many cases are performed using minimally invasive techniques, which reduce discomfort and shorten recovery time.

Will oophorectomy cause weight gain?

Oophorectomy itself does not directly cause weight gain. However, hormonal changes after removal of both ovaries may affect metabolism, making a healthy diet and regular activity important.

Are there long-term health effects after oophorectomy?

When both ovaries are removed, long-term considerations may include bone and heart health due to reduced oestrogen levels. These risks are monitored and managed through follow-up care.

Is oophorectomy covered by health insurance?

Oophorectomy is commonly covered by health insurance when medically indicated. Coverage depends on individual policy terms, and patients are advised to confirm details in advance.

When should I contact my doctor after surgery?

Medical advice should be sought if there is increasing pain, fever, wound redness or discharge, or any new or concerning symptoms during recovery.

Reviewed by Dr Parinita Kalita, Director, Obstetrics And Gynaecology, Robotic Surgery, Gynaecologic Laparoscopy, on 22 June 2026.