Minimally Invasive Surgery

Dr. Cook performing surgery

At Vital Health even the most complex surgical procedures are conducted via minimally invasive surgery. Open surgery (large incision) is almost never indicated.

Minimally invasive surgery is a modern approach to surgery in which specialized surgical equipment and techniques, such as laparoscopy, hysteroscopy and natural orifice surgery are utilized to avoid the need for a large incision. Instead, the procedure can be performed through small incisions (band aid surgery via laparoscopy) or without the need for incisions (hysteroscopy and vaginal surgery).


  • Less scarring (smaller incisions or no incisions at all)
  • Lower risk of post-operative adhesion formation
  • Less post-operative pain
  • Less risk of complications
  • Faster recovery time and less time spent in hospital
  • Earlier return to normal activities
  • Laparoscopy and hysteroscopy enable superior visualization of the surgical scene

While minimally invasive surgery has many advantages it also presents a unique challenge to the surgeon and requires additional expertise and training, especially when conducting advanced laparoscopic procedures. Dr. Cook is regarded as one of the most experienced minimally invasive gynecologic surgeons worldwide, having performed laparoscopic procedures on thousands of women with complex pelvic pain conditions. His partner physician, Dr. Castillo, specializes in natural orifice surgery to treat a wide range of pelvic floor conditions either in the office or as outpatient procedures.

Belly button surgery

At Vital Health we offer our patients a range of advanced minimally invasive gynecologic and abdominal surgical procedures, including:

  • Laparoscopic procedures
    • Diagnostic laparoscopy
    • Endometriosis excision surgery (including complete excision of advanced stage, deeply infiltrating endometriosis (DIE) involving the bowel, bladder, ureters and diaphragm)
    • Advanced adhesiolysis and Early Second Look Laparoscopy
    • Total laparoscopic hysterectomy and supracervical laparoscopic hysterectomy (removal of the uterus with or without retention of the cervix via “Band Aid” incisions)
    • Myomectomy and adenomyomectomy (removal of fibroids and adenomyomas)
    • Uterine suspension
    • Ovarian suspension
    • Cystectomy (removal of ovarian cysts)
    • Appendectomy
    • Inguinal hernia repair
    • Foreign body removal Removal of clips, staples and mesh from inside the pelvic cavity
    • Patient assisted laparoscopy (conscious pain mapping)
    • Presacral neurectomy
    • Nerve blocks
    • Laparoscopic tubal patency assessment
  • Hysteroscopic procedures
    • Diagnostic hysteroscopy
    • Polyp removal
    • Myomectomy (fibroid removal)
    • Correction of uterine anomalies
  • Cystoscopic procedures
    • Diagnostic cystoscopy
    • Botox treatment for bladder incontinence
    • Bladder instillations
  • InterStim bladder control stimulator implant insertion
  • Natural orifice surgery (pelvic reconstructive surgery)
    • Vaginal hysterectomy
    • Uterine suspension
    • Mesh revision
    • Vaginal prolapse repair (native vaginal prolapse repair and mesh or graft augmented prolapse repair)
    • Stress incontinence procedures
    • Fecal incontinence procedures
    • Urethral diverticulectomy
    • Peri urethral bulking
    • Vesicovaginal and rectovaginal fistulae repair
    • Vaginal reconstruction
  • Aesthetic/corrective gynecologic surgery
    • Labiaplasty Labia corrective surgery / labia reduction
    • Vaginoplasty Vaginal reconstructive surgery
  • Combined procedures (performing several surgical procedures during the same surgery)
Further reading
Surgery success rates
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