Preparing for and Recovering From Gynaecological Surgery: A Patient Guide
Gynaecological surgery can feel daunting, whether it’s a laparoscopy, hysterectomy, myomectomy, cystectomy, or LLETZ/cone biopsy. Understanding what to expect, and how to prepare can make the process smoother, safer, and less stressful.
This guide covers the key steps before surgery, what happens on the day, and how to support your recovery at home.
Preparing for Surgery
1. Understanding Your Procedure
During your consultation, we’ll discuss:
Why the surgery is recommended
What the procedure involves
Expected outcomes
Risks, benefits, and alternatives
I encourage you to ask questions - feeling informed helps ease anxiety and builds confidence.
2. Pre-operative Tests
Depending on your procedure, we may arrange:
Blood tests
Pregnancy test
Pelvic ultrasound or MRI scan
ECG or medical clearance (if needed)
These ensure it is safe to proceed and help plan your surgical approach.
3. Medications
Before surgery, you may need to:
Stop certain medications (eg. blood thinners)
Continue others
Start bowel prep or antibiotics (for specific procedures)
I will give you personalised instructions based on your health and the type of operation.
4. Preparing Your Body
A few simple steps can support smoother recovery:
Stay well-hydrated
Aim for balanced meals
Avoid smoking and vaping
Gentle exercise if comfortable
Adequate sleep leading up to surgery
5. Preparing Your Home
Set up a comfortable recovery space with:
Supportive pillows
Easy-to-reach medications
Loose clothing
Heat pack
Easy meals or meal prep
Fibre and stool softeners (to prevent constipation)
If you have young children, consider arranging help for the first few days.
What to Expect on the Day of Surgery
Before Surgery
You’ll meet your surgical and anaesthetic team
We’ll confirm your consent and answer any final questions
You’ll change into a gown and enter theatre once ready
Anaesthetic
Most gynaecological procedures are performed under general anaesthetic.
Minor procedures (LLETZ, hysteroscopy, biopsies) may use local or sedation.
After Surgery
You’ll wake in recovery with a nurse caring for you. It’s normal to experience:
Mild pain or cramping
Throat discomfort (from the breathing tube)
Bloating or shoulder tip pain after laparoscopic surgery
Light vaginal bleeding
Most patients go home the same day, depending on the procedure.
Recovery at Home
1. Pain Management
Most women experience manageable pain after surgery.
Your plan may include:
Paracetamol
NSAIDs (like ibuprofen or celecoxib)
Short courses of stronger pain relief if needed
Heat packs for bloating or muscle discomfort
Take medication regularly for the first 48 hours rather than waiting for pain to escalate.
2. Activity and Movement
Short walks help circulation and reduce bloating
Avoid heavy lifting (>5–10kg) for 2–6 weeks, depending on the procedure
Avoid strenuous exercise until cleared
Listen to your body - fatigue is normal
For laparoscopic surgery, most women return to work in 1–2 weeks for desk-based roles, but longer is required for major surgery.
3. Vaginal Care
Depending on your procedure:
Expect light bleeding for up to 2–4 weeks
Avoid tampons, menstrual cups, and penetrative sex until reviewed
Avoid swimming/spas until discharge has stopped
4. Bowel and Bladder Care
Constipation is very common after anaesthetic and pain medication.
To help:
Drink plenty of water
Use fibre supplements or stool softeners
Gentle walking
Heat packs for discomfort
Seek review if experiencing severe abdominal pain or inability to pass urine.
5. Wound Care
For laparoscopy:
Keep dressings on for 48 hours
You may shower normally
Expect bruising and mild swelling
Notify us if wounds become red, hot, or leak fluid
When to Seek Help
Contact me or seek urgent care if you experience:
Fever or chills
Increasing abdominal pain
Heavy vaginal bleeding
Persistent vomiting
Red or infected wounds
Difficulty breathing
Inability to pass urine
You will receive detailed post-operative instructions tailored to your surgery.
Follow-Up
Most patients have a follow-up appointment at 2–6 weeks, depending on the procedure.
We will review:
Healing
Pathology results
Ongoing symptoms
Future treatment or fertility planning
You Don’t Have to Navigate Surgery Alone
Gynaecological surgery is an important step toward improving pain, bleeding, fertility, or overall wellbeing. With the right preparation and support, recovery can be smooth and empowering.
If you’re considering surgery or would like a second opinion, you’re welcome to book an in-person or telehealth consultation.
