A large uterus, severe fibroids, adenomyosis, or prior surgery should not automatically mean open hysterectomy.
CIGC performs complex minimally invasive hysterectomy for patients who have been told they need open surgery, hospital admission, or a long recovery. Published CIGC outcomes support same-day discharge from a specialized surgery center for major GYN surgery.
If you were told your uterus is too large, your case is too complex, or hysterectomy must be done open, get a specialist review before deciding.
- 🎓 GYN-Oncology Trained
- ✏ Surgery Only — Not Obstetrics
- 📋 6 Peer-Reviewed Publications
- ✅ 20,000+ Procedures Performed
- 📍 Rockville, MD · Reston, VA · Secaucus, NJ
Large uterus, severe fibroids, adenomyosis, or prior surgery — these are the cases CIGC is built to treat
A hysterectomy recommendation should not automatically mean a large incision, hospital admission, or long recovery. CIGC’s published outcomes support complex minimally invasive hysterectomy with same-day discharge in a specialized surgery center.
Complex Cases
- Large uterus or large fibroids
- Adenomyosis
- Prior C-sections or pelvic surgery
- Patients told they may need open surgery
Patient Goals
- Same-day discharge
- Smaller incisions
- Faster recovery
- Cervix and ovaries preserved when appropriate
Why CIGC
- Published hysterectomy outcomes
- High-volume surgical specialists
- Freestanding surgery center expertise
- Complex major GYN surgery without routine hospitalization
Dr. Natalya Danilyants developed the surgical techniques used at CIGC and has published their outcomes in peer-reviewed medical journals. Every CIGC surgeon is personally trained in these techniques and performs surgery according to the same operative standards and quality benchmarks — whether your procedure is performed in Maryland or New Jersey.
Why DualportGYN hysterectomy is the right choice
Dr. Danilyants developed the DualportGYN technique and published its outcomes in six peer-reviewed journals. Every CIGC surgeon is trained in her methods and operates to the same documented standards — whether your procedure is performed in Maryland or New Jersey.
The CIGC Better Hysterectomy Option — the Functional Partial
CIGC’s preferred approach: the top of the uterus is removed while the cervix and ovaries are preserved. Preserving the cervix maintains vaginal and sexual function, decreases prolapse — the “drop down” of the bladder and rectum — and maintains ligament integrity. Preserving the ovaries means no surgical menopause, no estrogen drop, no menopausal symptoms. Same two incisions. Same same-day discharge. Same one-week recovery.
GYN-oncology trained surgeons — six peer-reviewed publications
Highest level of surgical training. Surgery only — not obstetrics. 100% of practice is complex GYN surgery. Led by Dr. Natalya Danilyants. Every clinical claim on this page is sourced from six PubMed-indexed peer-reviewed publications — not marketing claims. CIGC publishes data.
Fastest recovery possible — two small incisions
Through two five-millimeter incisions — not the four or five of robotic surgery, not the large incision of open surgery. Walking the day of surgery. Back to work in about a week. Complete symptom relief — bleeding, pressure, urinary frequency — after a one-hour procedure. No size threshold at which the answer becomes open surgery.
Your coinsurance costs are significantly lower at the surgery center
The average commercial insurance benchmark for hysterectomy is roughly $20,000 at a hospital vs. approximately $5,000 at CIGC’s surgery center — more than 65% less. What that means for you directly: if your coinsurance is 20%, your out-of-pocket hospital cost would be $4,000. At CIGC’s surgery center: approximately $1,000. A considerable savings — with better published outcomes.
Three things CIGC has demonstrated simultaneously through actual data and published literature that no other hysterectomy practice has
Every claim below is sourced from CIGC’s peer-reviewed published journal articles and actual data from patients who have undergone hysterectomy at CIGC.
5 cases on uteruses over 11 lbs — and the largest uterus ever removed at a surgery center with same-day discharge, at 15 lbs, at the lowest cost
In a national database of 64,000+ hysterectomies, more than 8 in 10 patients had a uterus under half a pound. CIGC’s typical case is four times heavier. 5 cases on uteruses over 11 lbs. The largest: 15 lbs — the largest ever removed at a surgery center with same-day discharge, anywhere. CIGC uses the same techniques and procedures with superior results for any size uterus — from normal to extreme — and provides the fastest recovery possible.
99.9% sent home the same day — including the record-size cases, from a freestanding surgery center
CIGC’s same-day discharge rate: 99.9% — across the full range of case complexity, from the most routine to the most extreme cases in the operative record. The largest uteruses. The most complex prior histories. All go home the same day.
Your coinsurance costs are significantly lower at CIGC’s surgery center
The average commercial insurance benchmark for hysterectomy is roughly $20,000 at a hospital vs. approximately $5,000 at CIGC’s surgery center. At 20% coinsurance, your out-of-pocket cost at the hospital would be approximately $4,000 — compared to approximately $1,000 at CIGC’s surgery center. A considerable savings. Better published outcomes at the lower cost setting. Covered by most major insurance plans.
Ready to find out if CIGC is right for you?
Schedule a consultation — reviewed by Dr. Danilyants or the surgical team. In-network. Rockville, MD · Reston, VA · Secaucus, NJ · Telehealth.
Thank you — we’ve received your request.
A member of the CIGC surgical team will review your information and reach out shortly. For immediate assistance, call 1-888-SURGERY.
What every hysterectomy patient should know before choosing a surgeon
Dr. Danilyants explains why the approach determines recovery, cost, complication risk, and what is preserved — and what most patients are never told before they choose.
The largest cases documented anywhere — done same-day at a surgery center
The world’s largest published laparoscopic hysterectomy required a three-day hospital stay. CIGC removed a larger uterus — 15 pounds — and sent the patient home the same day.
The point is not the records. The point is what the records prove. There is no uterine size too large, no prior surgical history too complicated, and no complexity threshold at which CIGC’s answer becomes open surgery or hospital admission. Whatever the size of your uterus — it is within this range.
CIGC vs. robotic vs. open hysterectomy
Differences documented in peer-reviewed literature. CIGC’s Functional Partial Hysterectomy is its preferred approach where anatomy permits — preserving the cervix and ovaries through the same two incisions as every other approach CIGC offers.
| CIGC — DualportGYN Freestanding surgery center · In-network | Robotic Hysterectomy Hospital-based | Open Hysterectomy Abdominal incision | |
|---|---|---|---|
| Incisions | 2 — five-millimeter eachCosmetically placed · any uterine size | 4–5 port incisionsLarger and more than CIGC | 1 large abdominal incisionVisible scar · significant post-op pain |
| Cervix & ovaries | Your choice — Functional Partial preserves bothNo surgical menopause · pelvic floor support maintained · sexual function preserved | Depends on surgeonOften not discussed before booking | Depends on surgeonOften not discussed before booking |
| Same-day discharge | ✓ 99.9%Including all record-size cases | Varies — often overnightHospital stay common for larger cases | ✗ 2–5 day admission standard |
| Return to work | ~1 weekWalking the day of surgery | 2–4 weeks | 6–8 weeks |
| CostCommercial insurance benchmark | ~$5,000 surgery center rateMore than 65% less than hospital | ~$20,000 hospital rateYou and your insurer pay the difference | ~$20,000+ including admissionHigher total cost when stay factored in |
| Published complication rate | 2.1% intraoperative2,689-patient peer-reviewed study · lowest of all approaches | 11.4% postoperativeHighest of all approaches in same study · no outcome advantage | Higher — open woundInfection risk · longer recovery increases exposure |
| Any uterine size | ✓ Including the 14.8 lb record caseNo size threshold at CIGC | Size limits apply for most surgeonsLarge cases often referred to open | Any size — with large incision and full recovery |
| In-network insurance | ✓ Most major plansNo cash-based or out-of-network fees | Varies by surgeon and facility | Varies by surgeon and facility |
All CIGC hysterectomy approaches — Functional Partial (cervix and ovaries preserved), Partial (ovaries preserved), or Complete — use the same two incisions and the same same-day discharge. The approach is chosen with your surgeon based on your anatomy and goals.
What a star rating does not tell you about your hysterectomy surgeon
Many practices report good reviews and same-day recovery for routine hysterectomies. CIGC does something the published medical literature has not documented anywhere else: a typical case four times heavier than the national average, same-day discharge across the full range of complexity, at a freestanding surgery center — as a continuous high-volume record, not a one-off case report.
Does your surgeon have a size threshold beyond which the recommendation becomes open surgery? Most do. At CIGC, the typical case already exceeds the weight at which most surgeons recommend open surgery. That is a capability question — not a satisfaction question.
Many practices collect patient reviews through automated services that send a survey immediately after a consultation or office visit — before any surgery has occurred. CIGC and Dr. Danilyants do not do this. Every CIGC review is a post-surgery review. Read them yourself.
Does your surgeon publish outcomes in peer-reviewed journals? CIGC does. Six publications. A satisfied patient after a routine hysterectomy is not the same evidence as a published record of 339 cases on uteruses over 2 lbs, all same-day, from a freestanding surgery center.
The world’s largest published laparoscopic hysterectomy (about 11.7 lbs, Cagliari Italy) required a three-day hospital stay. CIGC has performed a larger case (about 14.8 lbs) — and sent the patient home the same day.
Patients who came to CIGC after being told open surgery was their only option
“My top-rated OB/GYN had me scheduled for full surgery with a 6–8 week recovery. I walked a mile and a half just 7 days after my CIGC surgery. I honestly could not be happier.”
“In NY I kept being told I couldn’t have minimally invasive surgery — my uterus was up to my sternum. CIGC performed it with tiny incisions. My energy is back, I lost 20 lbs. This surgery has been a life saver.”
“In Florida my GYN was hesitant because of my scar tissue and 14 cm fibroid. Surgery in less than 2 hours changed my life. Kept my ovaries — no menopause. Back to Florida in two days. Back to work in 2 weeks. Zero pain.”
“From Dallas for my procedure. I was back on my feet the next day. Always get a second opinion from CIGC before proceeding with any robotic or open procedure. This has absolutely changed my life.”
“From Washington State. I had 20+ fibroid tumors, the largest the size of a grapefruit. I was able to take two walks the same day. So glad I did not have an open procedure, which was the only choice with doctors at home.”
“The recovery was unbelievable. Two small incisions, walking the same day, minimal pain, in a surgery center. I do not understand why others are not doing this.”
Patient testimonials reflect individual experiences; individual results vary.
The peer-reviewed evidence behind the outcomes
Every clinical claim on this page is sourced from peer-reviewed, PubMed-indexed publications. CIGC does not publish marketing claims; it publishes data.
A Value-Based Evaluation of Minimally Invasive Hysterectomy Approaches
2,689-patient retrospective comparison at a high-volume Maryland hospital. CIGC’s laparoscopic approach produced the highest value score of all six approaches: lowest intraoperative complication rate (2.1%), shortest operative time (71.2 min vs. 99.6 min robotic). Robotic hysterectomy had the highest postoperative complication rate (11.4%) and highest direct cost — with no outcome advantage. Note: published direct-cost figures are calculated estimates; real-world cost differentials based on commercial insurance ASC vs. hospital benchmarks are substantially larger.
Value-Based Assessment of Hysterectomy Approaches
Companion publication confirming value findings in the same 2,689-patient cohort. Documents cost differential across all minimally invasive approaches and confirms the laparoscopic retroperitoneal approach as the highest-value option of all studied.
Laparoscopic Hysterectomy Outcomes: Hospital vs. Ambulatory Surgery Center
2,031 patients, same surgeons, same procedure — hospital outpatient department vs. CIGC’s freestanding ASC. ASC: 99.8% same-day discharge. ASC patients had shorter operative times and lower blood loss. Largest uterus at ASC: about 7.7 lbs (3,500g); at hospital: about 5.5 lbs (2,489g). Equivalent complication rates — confirming ASC hysterectomy is a reproducible standard across the full complexity range.
Complex hysterectomy does not automatically require open surgery. CIGC evaluates large uterus cases, severe fibroids, adenomyosis, prior surgery, and high-complexity anatomy for same-day minimally invasive hysterectomy whenever appropriate.
Schedule Your CIGC Surgical Consultation
Your case will be reviewed by Dr. Danilyants or a member of the CIGC surgical team to determine the best treatment plan for your specific situation.
We review your imaging, your surgical history, and your goals. We explain what is possible at CIGC — specifically and honestly — and what it will cost using your insurance. Consultations in Rockville, MD · Reston, VA · Secaucus, NJ · Telehealth.
Thank you — we’ve received your request.
A member of the CIGC surgical team will review your information and reach out shortly. For immediate assistance, call 1-888-SURGERY.
Monday – Friday, 8 am – 5 pm ET · Rockville, MD · Reston, VA · Secaucus, NJ