NaPro Surgery / Advanced Reproductive Surgery

NaPro Surgery is the surgical branch of NaProTECHNOLOGY. Its surgeons work to repair the pelvic organs and restore their normal function. Three principles guide every step. Surgeons handle tissue gently to prevent scar tissue. They excise endometriosis instead of burning it. They protect fertility from start to finish.¹²

Adhesions, bands of scar tissue that bind organs together, often form after pelvic surgery. NaPro Surgery treats adhesions as a preventable problem. Surgeons use anti-adhesion barriers as a routine step. One published report follows this surgery across three phases over 23 years. At second-look surgery, adhesion scores around the ovaries and tubes fell from 18.1 to 6.0 to 2.5 as the methods improved. In the latest phase, scores on a standard scoring system fell from 33.2 before surgery to 2.5 afterward.² For more, see near-adhesion-free pelvic surgery and adhesion prevention.

For endometriosis, NaPro Surgery uses excision as the only endorsed approach. Surface burning (fulguration or ablation) can leave disease behind. Excision cuts the disease out. Surgeons also treat pelvic adhesions, endometriomas (ovarian cysts caused by endometriosis), and other disorders of the ovary. When a disorder of ovulation calls for it, they may remove a small wedge of the ovary (ovarian wedge resection).¹

Tubal surgery is another core part. NaPro surgeons use fine tools and magnification (microsurgery) to repair and reopen the fallopian tubes. This work includes the reversal of a tubal sterilization. Selective salpingography, an X-ray procedure that places a thin tube into each fallopian tube, can locate a blockage and help clear it. These steps aim to preserve tubal function. IVF bypasses the tubes instead of repairing them. NaPro Surgery works with NaPro Medical care before and after the operation. Both belong to the wider NaProTECHNOLOGY framework. The goal is to restore the couple's fertility rather than bypass it.¹²