NaPro Surgery / Advanced Reproductive Surgery

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

NaPro Surgery is the specialized surgical arm of NaProTECHNOLOGY, applying reconstructive pelvic surgery techniques aimed at restoring anatomy and function rather than simply removing tissue. The hallmark principles are near-adhesion-free technique, excision-based treatment of endometriosis, and fertility preservation throughout every step of the procedure.¹²

Where standard surgical approaches often leave adhesions as a by-product of tissue handling, NaPro Surgery treats adhesion formation as a preventable complication. Anti-adhesion barriers are applied systematically. Published outcomes from the development of this technique documented mean adhesion scores dropping from 33.3 to 6.0 over a decade of protocol refinement, measured using standardized pelvic adhesion scoring.² The broader approach is described in detail under near-adhesion-free pelvic surgery and adhesion prevention.

For endometriosis, NaPro Surgery uses excision as the only endorsed approach. Fulguration and ablation destroy tissue at the surface but leave disease behind; excision removes it at the root. Surgical management also includes treatment of pelvic adhesions, endometriomas, and ovarian pathology, with ovarian wedge resection for ovulation disorders where appropriate.¹

Tubal surgery is another core component. NaPro surgeons perform microsurgical tubal reconstruction and reversal, and selective salpingography to assess and address tubal obstruction. These procedures are fertility-preserving by design. They contrast with the bypass approach of IVF, which removes the fallopian tube from the equation rather than restoring it. NaPro Surgery integrates with NaPro Medical care before and after the operating room within the broader NaProTECHNOLOGY framework, with the goal of restoring the couple's reproductive function rather than bypassing it.¹²

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.