Myomectomy removes the fibroids and preserves the uterus — so your reproductive options stay open.
Uterine fibroids affect a substantial proportion of women, causing heavy bleeding, pelvic pain, and pressure symptoms that disrupt daily life. When you want the fibroids gone but the uterus preserved, myomectomy is the answer. Thailand's gynaecological surgeons perform this procedure using laparoscopic, hysteroscopic, and open techniques at a fraction of Western private prices.
Free, no-obligation — you pay the hospital directly with no markup.
Myomectomy removes uterine fibroids — benign smooth-muscle growths on the uterine wall — while keeping the uterus intact. It is the preferred option for women who want to retain fertility or simply prefer to keep their uterus. Surgery is indicated when fibroids cause heavy bleeding, pelvic pain, bladder pressure, or difficulty conceiving.
The approach depends entirely on the fibroids' number, size, and location. Submucosal fibroids can be removed through the cervix without any abdominal incision. Subserosal and intramural fibroids are accessed laparoscopically or through an open incision, depending on complexity.
Myomectomy is technically more demanding than hysterectomy — the surgeon has to remove the fibroids while preserving a functional uterus. Thailand's gynaecological surgeons handle this routinely.
Fertility Focus
Uterus-Preserving Approach
Our partner surgeons prioritise uterine preservation and meticulous repair, protecting your reproductive options while achieving complete fibroid removal.
50–70%
Lower Than Home Country Prices
JCI-accredited hospitals with laparoscopic and robotic platforms. Thailand's lower operating costs mean real savings without compromising on surgical quality.
Weeks
Imaging to Surgery
No months-long waiting list. Pre-operative ultrasound, MRI if needed, and surgery are typically completed within two to three weeks of your first enquiry.
Global
International Patient Support
English-speaking gynaecological teams, dedicated coordination, and hospitals that manage fertility-focused cases for international patients as standard.
We do not charge for our service — you pay the hospital directly with no markup. Here is what myomectomy costs in Thailand and how it compares internationally.
Your Quote Will Include
Prices are approximate and vary by technique, surgeon, and hospital. Your personalised quote will include a full cost breakdown.
Myomectomy in Thailand typically costs between $3,500 and $6,300, depending on the approach, the number and size of fibroids, and the hospital. Hysteroscopic removal sits at the lower end, while complex open myomectomy for large or multiple fibroids is at the higher end.
The surgeon's fee reflects the complexity and operative time. Hospital and theatre fees cover the facility, laparoscopic or robotic equipment, and nursing. Anaesthesia covers the anaesthetist and monitoring. Aftercare includes follow-up visits, pathology, medications, and coordinator support.
The number and size of fibroids are the primary cost drivers. A single submucosal fibroid removed hysteroscopically is straightforward. Multiple large intramural fibroids requiring open surgery take longer, use more resources, and cost more. GnRH agonist pre-treatment adds a modest cost but may reduce the overall bill by simplifying surgery.
Typical ranges at our partner hospitals:
Final pricing is confirmed after your imaging and consultation.
Fibroid removal in Thailand costs 50 to 70 percent less than equivalent procedures in the US ($10,500–$21,000), Australia (A$8,800–A$17,500), and UK (£7,700–£15,800). The savings reflect Thailand's lower operating costs, not lower surgical standards.
The right approach depends on where the fibroids sit within the uterus. Your pre-operative imaging — ultrasound and MRI where needed — maps them precisely so your surgeon can choose the technique that achieves complete removal with the least disruption.
Minimally invasive keyhole approach using a camera and specialised instruments through small abdominal incisions. Suited for subserosal and moderate intramural fibroids. Offers reduced blood loss, less post-operative pain, and faster return to activity than open surgery.
A non-incisional technique accessing the uterine cavity through the cervix using a hysteroscope. Submucosal fibroids projecting into the cavity are shaved or resected under direct camera visualisation. No abdominal incisions and most patients go home the same day.
Performed through a lower abdominal incision, giving direct access to the uterus. Recommended when fibroids are numerous, very large, or deeply embedded within the muscle wall. Recovery is longer, but this remains the most effective option for complex cases.
Technique depends on fibroid location, size, and number. The goal is complete removal with secure uterine repair — particularly important if future pregnancy is planned.
After laparoscopic fibroid removal, an electromechanical morcellator fragments the tissue inside a containment bag for extraction through a small incision. This avoids enlarging the incision to remove large fibroids. Contained morcellation prevents tissue dispersal within the abdomen.
After intramural fibroid removal, the uterine wall is repaired in multiple layers using absorbable sutures. This technique restores structural integrity and is essential for women planning future pregnancies, as it minimises the risk of uterine rupture during labour.
For large fibroids, your surgeon may prescribe GnRH agonist injections for two to three months before surgery. This shrinks the fibroids, reduces their blood supply, and makes removal technically easier with less intraoperative bleeding. It also corrects anaemia from fibroid-related heavy bleeding.
You rest in hospital with pain managed through intravenous and oral medication. The care team monitors vitals and checks for early post-operative bleeding. Light movement in bed is encouraged. Hysteroscopic patients may be discharged the same day.
Gentle walking increases gradually. Most laparoscopic and hysteroscopic patients are discharged during this period. Open myomectomy patients may stay an additional night. Diet returns to normal and the catheter is removed.
A follow-up appointment checks wound healing and reviews your progress. Light daily activities are permitted, but lifting, strenuous exercise, and sexual intercourse are avoided. Mild cramping and light vaginal spotting are normal.
Activity increases gradually. Laparoscopic and hysteroscopic patients typically resume full activity by weeks three to four. Open myomectomy patients may need up to six weeks. A final review confirms healing and discusses fertility planning if relevant.
Most laparoscopic and hysteroscopic patients fly home within 7 to 10 days. Open myomectomy patients should allow 10 to 14 days before flying. We recommend an aisle seat, compression stockings, regular leg movement, and good hydration during the flight.
Desk work is usually possible within one to two weeks for laparoscopic and hysteroscopic patients, and two to three weeks for open surgery. Light walking from day one. Gym workouts and heavy lifting should wait four to six weeks.
Bleeding improvement is immediate. Pressure symptoms resolve within days as swelling settles. The uterine wall continues to heal and strengthen for three to six months. The optimal timeline for attempting conception is discussed if fertility is a goal.
Myomectomy is a well-established gynaecological procedure. Complications are uncommon when performed by experienced surgeons, but they are worth understanding.
Multi-layer uterine closure, anti-adhesion barriers, and meticulous haemostasis are the main tools for reducing these risks. Surgeon experience with myomectomy specifically — not just general gynaecological surgery — is what matters most.
Yes. Myomectomy at JCI-accredited hospitals in Thailand is performed by gynaecological surgeons with specific experience in fertility-preserving techniques. The hospitals have blood banking, intensive care, and the full infrastructure needed to manage any complication.
Choose a surgeon with high myomectomy volume and specific expertise in the technique appropriate for your fibroid location. Pre-operative MRI mapping ensures the surgical plan accounts for all fibroids. GnRH agonist pre-treatment reduces intraoperative bleeding for large fibroids. Anti-adhesion barriers reduce post-operative scar tissue formation.
New fibroids can develop over time, with studies reporting recurrence rates of approximately 15 to 30 percent within five years. This is new fibroid growth, not regrowth of removed fibroids. Younger women have higher recurrence rates. Monitoring strategies and whether hormonal management is appropriate are covered during follow-up.
Myomectomy requires more surgical skill than hysterectomy — removing fibroids while preserving a functional uterus is technically demanding. Here is what to look for.
Our partner hospitals hold JCI accreditation and have dedicated gynaecological surgery departments with laparoscopic towers, robotic platforms, hysteroscopic equipment, and on-site pathology. Blood banking services ensure transfusion support is immediately available for complex cases.
Our partner gynaecological surgeons have specific experience in fertility-preserving myomectomy. Many completed advanced minimally invasive surgery fellowships and perform high volumes of laparoscopic and hysteroscopic fibroid removal annually.
Ask about the surgeon's specific myomectomy volume — not just general gynaecological surgery numbers. If fertility preservation is important, confirm they use multi-layer uterine closure and anti-adhesion barriers. For laparoscopic cases, ask about their approach to contained morcellation.
Myomectomy results are measured by symptom relief, uterine preservation, and — for many patients — successful future pregnancy.
Heavy bleeding resolves immediately. Pressure symptoms including urinary frequency and bloating improve within days. The uterus is preserved with full reproductive potential. Many women conceive naturally after myomectomy — fertility outcomes are best in the first six to twelve months post-surgery.
Symptomatic relief is rapid. Internal uterine healing takes three to six months, during which most surgeons recommend waiting before attempting conception. Timing guidance depends on the depth and extent of your uterine repair.
Most patients need 7 to 10 days in Thailand for myomectomy, with open surgery patients benefiting from staying closer to 10 to 14 days.
Plan for 7 to 10 days for laparoscopic and hysteroscopic procedures, or 10 to 14 days for open myomectomy. This covers pre-operative imaging, surgery, inpatient recovery, and at least one follow-up appointment to confirm healing before you fly home.
Your care coordinator manages hospital transfers, surgery scheduling, and all follow-up appointments. The surgical quote covers the surgeon's fee, anaesthesia, hospital stay, pathology, medications, and coordinator support. Flights and accommodation are separate.
Stay in Bangkok. Myomectomy patients need proximity to their surgical team for wound checks and to address any concerns during the recovery period. Bangkok offers comfortable serviced apartments near the major hospitals.
Everything you need to know before your procedure
Patient Care Director
Last reviewed: March 25, 2026
Medical disclaimer: Content on this site is provided for informational purposes and should not be treated as medical advice. Outcomes, timelines, and eligibility differ from person to person. Consult a qualified medical professional before making any decisions about surgery or treatment.
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