Fibroid Removal in Thailand Your guide to cost, top specialists & hospitals

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.

Pressure symptoms including urinary frequency and bloating improve within days. Heavy bleeding improves from your first period after surgery rather than immediately. The uterus is preserved with full reproductive potential, and many women conceive naturally after myomectomy once the uterine wall has healed.²

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.

Our partner hospital's published fly-in packages run from ฿180,000 to ฿379,500, about $5,294 to $11,162. Open myomectomy through a lower abdominal incision is ฿180,000 with three nights in hospital. Keyhole myomectomy is ฿339,000 with two nights, rising to ฿379,500 if ovarian work is done at the same sitting. Removing a fibroid through the cervix with a hysteroscope is not a published package and is quoted individually. These are one hospital's published rates rather than a national price, and figures across branches of the same network differ considerably.

Each package covers the surgeon's fee, the anaesthetist, theatre time with the laparoscopic equipment, and the stated nights in hospital with nursing care. Pathology on the fibroids removed is included, which is worth flagging because the hospital excludes pathology from its standard surgical packages and makes an exception in gynaecology. Outside the package sit pre-operative medical clearance, blood tests, the ultrasound and MRI mapping the plan depends on, and any GnRH agonist course or iron infusion used to shrink the fibroids or rebuild your blood count before surgery. Medication for conditions you already take is billed on top, and flights, accommodation and travel insurance sit outside entirely.

The route of surgery dominates everything else, and it works in the direction most patients do not expect. Keyhole is ฿159,000 more than open, close to twice the price, because the operation uses disposable instruments and takes longer in theatre. What it buys back is a night, two rather than three. The second variable is whether ovarian work is added, which takes the keyhole package from ฿339,000 to ฿379,500. The number and size of your fibroids decide which route is even possible, so in practice your imaging chooses the price bracket rather than you.

The open route at about $5,294 sits at roughly half the $10,500 floor for self-funded myomectomy in the US, and well under UK private pricing of £7,700 to £15,800. The keyhole packages are a different matter. At about $9,971 and $11,162 they sit level with or slightly above that US floor, so for a keyhole myomectomy quoted at the lower end at home there may be no saving in travelling at all. Get a written comparison for the specific route your imaging points to rather than relying on a headline range.

Most women try less invasive options before surgery, and for milder symptoms they can be enough. Medication is usually first: tranexamic acid to curb heavy bleeding, a levonorgestrel (hormonal) IUD to lighten periods, or GnRH agonists to shrink fibroids and pause bleeding short term. Uterine artery embolisation is a non-surgical, image-guided procedure that blocks the fibroids' blood supply so they shrink, with no incision and a quick recovery.

Each has real limits. Medication manages symptoms rather than removing the fibroids, so the effect lasts only while you keep taking it, and GnRH agonists are a short course because of bone-density and menopausal side effects. Embolisation shrinks fibroids but does not take them out, is generally not advised when future pregnancy is the priority, and a proportion of women still need surgery later. None of these makes a fibroid that is pressing on the bladder or distorting the uterine cavity disappear.

Myomectomy becomes the right step when fibroids are large, numerous, or affecting fertility, when bleeding or pressure no longer responds to medication, or when you want them physically removed while keeping your uterus. It is the route that addresses the fibroids directly rather than managing around them, and it is what the rest of this page covers.

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. Avoid driving while taking opioid pain medication and until you can brake hard for an emergency stop without pain, which is usually one to two weeks after laparoscopic or hysteroscopic surgery and three to four weeks after open myomectomy.

Pressure symptoms resolve within days as swelling settles. Heavy bleeding improves from your first period after surgery rather than immediately. 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 in Thailand is performed under general anaesthesia, so you are fully asleep and feel nothing during the operation, whether your fibroids are removed through the cervix, through keyhole incisions, or through an open abdominal incision. A consultant anaesthetist stays with you throughout and monitors you continuously, which is standard at the accredited hospitals we work with.

Before you are cleared for anaesthesia you have a pre-operative assessment, including blood tests and a review of any medications you take. This matters more than usual with fibroids, because heavy bleeding can leave you anaemic, and your team will want that corrected first, sometimes with iron or a short course of GnRH agonist injections, so you go into surgery in the safest possible state.

You feel nothing while the fibroids are removed and the uterus is repaired. Afterwards, keyhole and hysteroscopic patients tend to have mild to moderate cramping that settles within a few days, while open surgery involves more discomfort across a slightly longer recovery. Either way, pain is well controlled with intravenous medication in hospital and prescribed oral medication once you are home.

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. This is new fibroid growth, not regrowth of removed fibroids, and younger women are more likely to develop them.¹ Monitoring strategies and whether hormonal management is appropriate are covered during follow-up.

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 package covers the surgeon's fee, anaesthesia, the stated nights in hospital, and pathology on the fibroids removed. Pre-operative clearance, blood work, pelvic imaging and any GnRH agonist or iron treatment before surgery are billed separately, so ask for those itemised alongside the package. 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.