Care for the Present…

Gynecological Procedures

Our physicians are trained in all areas of gynecologic surgery and perform a wide range of procedures. We provide a detailed surgical consultation appointment where you will have plenty of time to explore all surgical and nonsurgical options, discuss the specifics as well as the risks, benefits and expected outcome of your procedure.

In-Patient Procedures


Surgical removal of the uterus with or without the ovaries. There are a number of indications for this procedure, such as abnormal bleeding, fibroids, and pelvic pain. There are several different options for performing this procedure. Your physician will advise you about the safest and least invasive option that fits your specific indication. Our physicians are trained in the following:

  • Abdominal Hysterectomy – Uses a standard surgical incision on the tummy, usually similar to a cesarean section incision or “bikini-cut”.
  • Vaginal Hysterectomy – Requires no abdominal incisions as uterus is removed through a small incision at the back wall of the vagina.
  • Laparoscopic Hysterectomy – Uses several small incisions in the abdomen and a scope to remove the uterus.
  • Robotic Hysterectomy – Uses the laparoscope with robotic assistance.

Out-Patient Procedures

Laparoscopic Adnexal/Ovarian/Tubal Procedures

In addition to hysterectomy, other procedures such as removal of ovarian cysts, tubal sterilization, treatment of endometriosis and pelvic pain, can be performed laparoscopically in minimally invasive fashion in order to reduce the risk of complications and shorten recovery time.

  • Hysteroscopy – A small scope can be placed through the cervix to diagnose and treat uterine conditions such as polyps and abnormal bleeding.
  • Dilation and Curretage – Surgical procedure to dilate cervix and then remove tissue from inside the uterus. Typically done for abnormal bleeding or removal of a failed pregnancy.
  • Pelvic Floor/Prolapse Repair – Surgical procedure usually through small vaginal incisions to repair pelvic organ prolapse.
  • Bladder Slings – A small vaginal incision is made for placement of a mesh sling to treat urinary incontinence.
  • LEEP – A thin wire loop energized by electrosurgical current to remove abnormal cells from the cervix.

In-Office Procedures

In-Office Anesthesia – We have special procedure days each month when a Board Certified Specialist comes to our office to provide sedation for patients who might need this to help manage discomfort during a procedure. If you receive sedation, you will need someone to drive you home.

Hysteroscopic Endometrial Ablation – Surgical procedure through vagina using a hysteroscope to visualize the uterine cavity, remove or biopsy any excess tissue, then use a heat technique to burn and destroy the endometrial lining. Sedation is required. Minerva is the procedure used in our office.

Colposcopy – Visualization of the cervix with a specialized microscope to detect precancerous cells following an abnormal PAP smear. Please take 800mg of Ibuprofen before having this procedure if not allergic.

Vaginal Rejuvenation – Radiofrequency heat to tighten and improve blood flow and sensation to the external and internal female genitalia. Our office offers Votiva to treat vaginal laxity, atrophy, mild urinary incontinence, and some sexual dysfunction. Talk to a provider to see if Votiva is an option for you.

IUD Placements – Placement of any type of IUD into uterus for birth control or cycle control. Please take 800mg Ibuprofen before having this procedure if not allergic. Our office uses Mirena, Skyla, Kyleena, and Liletta IUDs. We also offer Paragard, a hormone-free, long-term IUD.

Hysterosonograms – Ultrasound procedure where catheter is placed by physician into the uterus to help visualize the endometrial cavity for polyps or fibroids.

Generations physicians perform surgical procedures at Parkwest Hospital, and Fort Loudon Medical Center in addition to in-office procedures.