Minimally Invasive Gynecologic Surgery (MIGS)

By RRM Academy Reviewed by Dr. Naomi Whittaker, MD, Board-Certified OBGYN, MIGS, NFPMC, FCI Updated May 14, 2026

Minimally Invasive Gynecologic Surgery (MIGS) is a recognized gynecologic subspecialty focused on laparoscopic, hysteroscopic, and robotic surgical techniques for treating disorders of the female reproductive tract.¹² MIGS fellowship-trained surgeons complete structured advanced training in operative laparoscopy and hysteroscopy after residency, with dedicated focus on tissue-sparing and minimally invasive approaches to complex gynecologic pathology.

Procedures within the MIGS domain include excision of endometriosis, adhesiolysis, operative hysteroscopy for intrauterine pathology, laparoscopic myomectomy, and tubal surgery. Robotic-assisted laparoscopy and mini-laparotomy fall within the MIGS skill set for cases where standard laparoscopic access is limited.

MIGS training is directly relevant to restorative reproductive surgery. Fertility-sparing technique and precise pathology management, rather than organ removal, are central to NaProTechnology surgical care and IIRRM-trained reconstructive practice. A surgeon's MIGS training speaks to competence in the laparoscopic and hysteroscopic procedures these named-method approaches frequently use, including excision surgery for endometriosis, operative hysteroscopy for uterine cavity pathology, and near adhesion-free reconstructive pelvic surgery.³

This content is for educational purposes only and does not constitute medical advice. Consult an RRM clinician or healthcare provider for guidance specific to your situation.