Our highly trained gynecologic surgeons have extensive expertise in treating the most complex conditions that affect a woman’s reproductive system and urinary tract. Our surgeons have specialized training in minimally invasive approaches and robotic surgical systems, offering safer, more effective alternatives to open surgery.

Our team uses minimally invasive techniques that require a few — or sometimes no — incisions (cuts) to access the surgical site. Some of the symptoms and conditions we treat with minimally invasive gynecology surgery are:


Also called an abnormal Pap test result, this finding means that some cells of your cervix (canal that connects the uterus and vagina) look different from normal cells. An abnormal test result does not mean you have cancer.

Unusual bleeding from your uterus (womb) may happen between monthly periods, lasts longer than usual or is extremely heavy.

Bands of scar-like tissue can form inside your abdomen (belly) after abdominal surgery. The tissue can develop between two or more organs or between organs and the abdominal wall.

This pouch can form on the wall of your uterus if the incision from a past c-section doesn’t heal completely.

Tissue similar to the uterus lining (endometrium) grows outside the uterus, causing bleeding with each period, just like the endometrium inside the uterus.

Bands of fibrous tissue can form in the endometrium, sometimes after a uterine procedure or inflammation. The adhesions can cause menstrual problems and difficulty becoming or staying pregnant.

In some women, one or more female reproductive organs didn’t develop properly before they were born. Most of these malformations affect the uterus and/or the cervix, which may be misshapen or missing completely.

Small sacs can form on one or both of your ovaries (organ that releases eggs and produces female hormones). The sacs usually contain fluid and are painless and harmless. Some rare types may contain tissue cells.

The bladder, intestines or uterus may drop out of place into your vagina, if the pelvic muscles and tissues become weak or damaged and can no longer support those organs.

This pain occurs in the lowest area of your belly and may be a symptom of an infection or a problem with one or more reproductive organs.

Pressure in the uterus from a growing baby may cause the cervix to open too early in pregnancy, resulting in an early birth.

Loss of bladder control causes urine leaks due to pressure on the bladder (stress), an intense need to urinate (urge), a bladder that doesn’t completely empty (overflow) and physical or mental inability to reach the toilet in time (functional).

Noncancerous growths of fibrous tissue can grow in or on the wall of the uterus, ranging from small with mild symptoms to large, causing pain, heavy bleeding and reproductive problems.

Center of Excellence in Minimally Invasive Gynecology

Texas Children’s Pavilion for Women has earned accreditation as a Center of Excellence in Minimally Invasive Gynecology. Two of our surgeons, Xiaoming Guan, MD, PhD, and Dr. David Zepeda, MD, also received recognition as Surgeons of Excellence in Minimally Invasive Gynecology.