Surgery
As an Auckland gynaecologist and laparoscopic surgeon, I offer a wide range of procedures to diagnose and treat issues affecting the uterus, ovaries, fallopian tubes, cervix, and vulva. Here’s an overview of the most common procedures I perform, grouped by type.
If you’re not sure what something means or whether it applies to you — that’s okay. I’ll always explain your options clearly and support you in deciding what feels right for you.
Laparoscopic (Keyhole) Surgery
Laparoscopic procedures are minimally invasive surgeries performed through small incisions in the abdomen. They typically offer quicker recovery, less pain, and fewer complications than traditional open surgery.
Laparoscopic Hysterectomy
Removal of the uterus, sometimes including the cervix, ovaries, and/or fallopian tubes. Can be done for reasons such as heavy bleeding, fibroids, adenomyosis, endometriosis, or cancer risk.
Laparoscopic Myomectomy
Excision of fibroids (non-cancerous muscle growths in the uterus) while preserving the uterus.
Resection of Endometriosis
Precise resection of endometriosis lesions, including deep infiltrating disease, to help reduce pain and improve fertility.
Ovarian Cystectomy and Reconstruction
Removal of ovarian cysts while preserving as much normal ovarian tissue as possible.
Salpingectomy and Oophorectomy
Removal of the fallopian tubes (salpingectomy) or ovaries (oophorectomy), either as treatment or for cancer risk reduction.
Gender Affirming Surgery
Laparoscopic removal of reproductive organs as part of gender-affirming care, tailored to individual needs and goals.
Risk-Reducing Surgery
Procedures performed to lower the risk of cancer in high-risk individuals — such as removal of tubes and ovaries in those with BRCA mutations.
Uterine Anomaly and ACUM Resection
Surgical treatment for rare congenital abnormalities of the uterus, including accessory cavities (ACUM), that may cause pain or fertility problems.
Adhesiolysis
Surgical division of internal scar tissue (adhesions) that may be causing pain or blocking organs like the bowel or fallopian tubes.
Hysteroscopic Procedures
These procedures are performed through the cervix using a small telescope (hysteroscope), with no cuts or incisions.
Hysteroscopic Myomectomy and Polyp Resection
Removal of fibroids or polyps from inside the uterine cavity — often done to improve bleeding symptoms or fertility.
Cervical and Endometrial Procedures
LLETZ and Cone Biopsy
Excision of abnormal cells from the cervix following an abnormal smear. This is done to prevent cervical cancer.
Endometrial Ablation
A treatment for heavy periods where the lining of the uterus is removed or destroyed to reduce or stop menstrual bleeding.
Vulval and Vaginal Procedures
VaIN and VIN Excision
Surgical excision of pre-cancerous changes in the vulva (VIN) or vagina (VaIN), often due to HPV.
Other Procedures
ERPOC (Evacuation of Retained Products of Conception)
A procedure to remove the pregnancy following a miscarriage or incomplete abortion.
Pelvic Floor Botox
Botox injections into the pelvic floor muscles to help with pelvic pain, vaginismus, or muscle spasm that hasn’t responded to other treatments.
Anaesthesia
Comfort is vital, which is why a wide range of anaesthetic options are available for procedures and surgery.
Dr Sam Holford
Ready When You Are
If you're looking for specialist gynaecological care with expertise, empathy, and a bit of humanity — you're in the right place.
Book an appointmentFAQs
What to Expect
Every procedure starts with a conversation — about your symptoms, goals, and preferences. I’ll talk you through the options, outline risks and benefits, and make sure you have the information and time you need to decide what’s best for you.
If you have any questions about these procedures — or one not listed here — feel free to get in touch.