Myomectomy (Fibroid Surgery) in India — Cost, Procedure & Recovery
Myomectomy in India costs $2,500–$6,000. Laparoscopic and hysteroscopic fibroid removal preserving the uterus. Expert gynaecologists. Book with Gaf Healthcare.
Estimated cost: $2,500 – $6,000 · Average stay: 2–5 days
Myomectomy is the surgical removal of uterine fibroids (myomas) while preserving the uterus — essential for women who wish to conceive or who prefer to keep their uterus. India's advanced gynaecological units offer laparoscopic, hysteroscopic, and open myomectomy using the latest 4K imaging and energy devices, with outcomes equivalent to the best centres in the US and UK at 75–85% lower cost.
What Is Myomectomy?
Fibroids are benign smooth muscle tumours of the uterus, affecting 20–40% of women of reproductive age. Myomectomy removes the fibroids from the uterine wall through one of three routes: laparoscopic (keyhole) for subserosal and intramural fibroids up to 10–12 cm, hysteroscopic for submucosal fibroids projecting into the uterine cavity, or open (laparotomy) for very large or multiple fibroids requiring complex uterine reconstruction. All routes aim to remove every identifiable fibroid, reconstruct the uterine wall in anatomical layers, and achieve perfect haemostasis.
Who Needs Myomectomy?
Women with symptomatic fibroids (heavy menstrual bleeding, bulk symptoms, urinary frequency, pelvic pain, or pressure) who wish to retain their uterus — particularly those planning future pregnancy — are ideal candidates. Fibroids causing infertility by distorting the uterine cavity (submucosal fibroids) have the strongest evidence for surgical treatment before IVF. Women who prefer uterine conservation over hysterectomy are also excellent candidates.
Laparoscopic Myomectomy in India
Under general anaesthesia, four laparoscopic ports are inserted. Vasopressin is injected around the fibroid to reduce blood loss. The fibroid is removed using an electrosurgical dissector, and the myometrium is closed in multiple layers using endoscopic suturing technique. The fibroid is then morcellated (fragmented) in a containment bag and removed through a port. A uterine manipulator maintains uterine mobility throughout. Hysteroscopic myomectomy uses a resectoscope to shave submucosal fibroids from within the uterine cavity without any abdominal incision.
Procedure Steps
- Vasopressin injection around the fibroid for haemostasis
- Serosa incision over the fibroid
- Fibroid enucleated from the myometrium using traction and counter-traction
- Myometrial defect closed in multiple layers with endoscopic sutures
- Fibroid placed in containment bag — morcellated and removed
- Uterine surface checked for haemostasis
- Antiadhesion barrier applied if indicated
- Incisions closed — patient to recovery room
Cost Comparison Worldwide
Country — Range — Savings
--- — --- — ---
India — $2,500 – $6,000 — Save 75–85%
UAE — $4,000 – $9,000 — Save 60–70%
United Kingdom — $8,000 – $18,000 — Baseline
United States — $12,000 – $30,000 — —
Myomectomy in India costs $2,500–$6,000 depending on route (hysteroscopic being the lowest cost, open being the highest within this range) — saving patients $20,000–$25,000 compared to the US.
Recovery & Follow-up
Hysteroscopic myomectomy is a day procedure with return to normal activities within 3–5 days. Laparoscopic myomectomy requires 1–2 days of hospitalisation and 2–3 weeks to return to light work, 6 weeks to full activity. Open myomectomy requires 3–5 days of hospitalisation and 6–8 weeks to full recovery.
Recovery Tips
- Pelvic rest for 6 weeks after any myomectomy to allow uterine wall healing
- Avoid pregnancy for 6 months after myomectomy to allow myometrial scar to mature
- Ultrasound at 3 months confirms fibroid-free uterus
- Iron supplementation for 2–3 months post-operatively if anaemic pre-operatively
- C-section may be required for future deliveries after deep intramural myomectomy — discuss with your obstetrician
Risks & Complications
Risks include haemorrhage (transfusion rate 2–5%), conversion to hysterectomy in emergency haemorrhage (<1%), fibroid recurrence (20–30% at 5 years), uterine rupture in subsequent pregnancy (1–2%), adhesion formation, and infection. India's specialist myomectomy surgeons have blood transfusion protocols and autologous blood salvage available for large procedures.
Why GAF Healthcare
Gaf Healthcare partners with high-volume laparoscopic myomectomy surgeons who have performed over 500 myomectomies each. We review preoperative MRI to plan the optimal surgical route — laparoscopic, hysteroscopic, or combined — before your arrival in India.
Frequently Asked Questions
Can I get pregnant after myomectomy?
Yes — myomectomy is primarily performed to improve fertility. Uterine cavity restoration after submucosal fibroid removal significantly improves IVF success rates. Spontaneous conception rates improve by 30–50% after myomectomy for cavity-distorting fibroids.
Do fibroids come back after myomectomy?
Fibroid recurrence occurs in approximately 20–30% of patients at 5 years. Gonadotrophin-releasing hormone analogue (GnRH-a) therapy before myomectomy reduces fibroid bulk and recurrence risk.
What size fibroid can be removed laparoscopically?
Experienced laparoscopic surgeons at Gaf Healthcare partner hospitals can remove fibroids up to 12–15 cm laparoscopically. Very large (>15 cm) or multiple (>5) fibroids may require open surgery.
Is hysteroscopic myomectomy suitable for all submucosal fibroids?
Hysteroscopic myomectomy is ideal for FIGO type 0 (fully intracavitary) and type 1 (>50% intracavitary) submucosal fibroids. Type 2 (>50% intramural) may require two-stage hysteroscopy or laparoscopic assistance.
Will I need a C-section after myomectomy?
C-section is recommended after myomectomy when the uterine cavity was entered (intramural fibroid requiring full-thickness myometrial closure) — similar to the scar from a previous C-section. Your surgeon will advise your future obstetric care team accordingly.