Who We Are

THE CENTER FOR INNOVATIVE GYN CARE®, is the destination for life-changing minimally invasive GYN surgery.

Our minimally invasive GYN surgeons return you to you faster.

GYN patients travel from around the world to experience DualPortGYN® and LAAM® for myomectomy techniques developed by the CIGC® surgical specialists.

We are board certified, fellowship trained minimally invasive GYN surgeons. We have redefined the meaning of minimally invasive GYN surgery, providing some of the most advanced procedures for women around the world. We have developed innovative and revolutionary GYN techniques to simplify even the most complicated surgical procedures. We care for each patient as a true individual, and through a detailed and personalized approach we have our patients back on their feet as swiftly as possible.

Who We Are
At CIGC we are board certified, fellowship trained laparoscopic specialists who have redefined the meaning of minimally invasive care. We have developed innovative and revolutionary techniques to simplify even the most complicated surgical procedures. We care for each patient as a true individual, and through a detailed and personalized approach we have our patients back on their feet as swiftly as possible.
Who We Are
Our Personalized Care
DualPortGYN® Minimally Invasive Procedure
LAAM® Myomectomy for Fibroids
Endometriosis Removal
Fertility Solutions
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  • Dedication To Minimally Invasive GYN Surgery
    • CIGC surgeons are not obstetricians, and do not practice obstetrics.
    • Our surgeons are dedicated solely to the performance and advancement of minimally invasive GYN surgery.
    • We do not perform open or robotic procedures.
  • Trained Specialists In Minimally Invasive GYN Surgery
    • Our surgeons have completed a fellowship program for specialty training in minimally invasive surgery or GYN oncology.
    • Our surgeons have acquired and developed expert skills in techniques and procedures that optimize surgical care.
  • Dedication to Patient and Physician Education
    • We help educate patients to understand all of their options to choose the safest, least invasive procedure, providing the best recovery possible.
    • Our surgeons educate physicians on our innovative techniques through national presentations and web-based seminars.
  • Empowering Patients to Make The Right Choices
    • CIGC believes each patient is her own best advocate. The “marketing of medicine” and the significant amount of misinformation online has created confusion regarding the delivery of healthcare. Our goal is to educate each patient through evidence-based information on the best surgical treatments available for GYN conditions.

Our Doctors


Our award-winning minimally invasive GYN specialists are internationally known for their leadership and expertise in the diagnosis and management of GYN conditions, and innovation of minimally invasive gynecological surgery techniques for women of all ages. CIGC’s elite team provides a personalized approach for each patient, offering advanced surgical solutions.
Natalya Danilyants, MD

Natalya Danilyants, MD


Dr. Danilyants received her fellowship training in Advanced Retroperitoneal Laparoscopic Surgery through the exclusive Johnson and Johnson/Ethicon EndoSurgery (EES) fellowship program. The EES program offered less than 10 positions nationally. Dr. Danilyants was accepted into the EES program after completing her residency at the George Washington University in Washington DC where she served as Chief Resident. Through the EES fellowship program, Dr. Danilyants completed extensive training in Advanced Retroperitoneal Laparoscopic Surgical techniques and practiced an additional three years at the Women’s Surgery Center. At WSC, Dr. Danilyants was the Director of Advanced Retroperitoneal Laparoscopic Surgery and developed a very successful practice, performing more than 4000 GYN surgeries for all indications.

Dr. Danilyants is the former Division Chief of Minimally Invasive GYN Surgery at Inova Fair Oaks Hospital, as well as former Assistant Clinical Professor in the Department of Obstetrics and Gynecology at George Washington University Hospital. She received numerous awards for her exceptional surgical skill and care, including the Outstanding Laparoendoscopic Award in 2007, AAGL (American Association of Gynecologic Laparoscopists) Award for Special Excellence in Endoscopic Procedures in 2008, and Center of Excellence in Minimally Invasive Gynecology Designated Surgeon in 2012.

She was honored to receive a Patient’s Choice Award and Compassionate Doctor Recognition by her patients for her excellent care and compassionate bedside manner. She was recently named in the 2013 Super Doctors Edition of The Washington Post Magazine as a “Rising Star.”


Paul MacKoul, MD

Paul MacKoul, MD

Dr. MacKoul is board certified in both Gynecology and Gynecologic Oncology. As a leader in the field of laparoscopy, he has presented at major national meetings and been published in world-renowned medical journals. He is frequently sought as a medical expert on techniques for minimally invasive removal of non-cancerous, pre-cancerous, and cancerous tumors. He is a specialist in the treatment of gynecological cancers as well as benign conditions such as fibroids, ovarian masses and endometriosis.

Dr. MacKoul is Director of Gynecologic Laparoscopy at Holy Cross Hospital. He is also the former Director of GYN Oncology at George Washington University Hospital and Washington Hospital Center as well as former faculty at George Washington University Hospital. He was named a Center of Excellence in Minimally Invasive Gynecology Designated Surgeon in 2012. He has been named a Top Doctor multiple times by the Washingtonian Magazine as well as Northern Virginia Magazine.

Dr. MacKoul completed his fellowship in gynecologic oncology at the University of North Carolina, and his residency in OB/GYN at the University of Maryland. He graduated from Medical School at Tufts University after completing a Master’s degree at Vincent T. Lombardi Cancer Center at Georgetown University.


Rupen Baxi, MD

Rupen Baxi, MD

Dr. Baxi received his fellowship training in minimally invasive GYN surgery at Mohawk Valley Health System, an American Association of Gynecologic Laparoscopists (AAGL) fellowship program. He completed an internship in General surgery at the Jewish Hospital of Cincinnati followed by residency in Obstetrics & Gynecology at Oakland University William Beaumont School of Medicine and Health System where he was awarded the Special Resident in Minimally Invasive Surgery Award, sponsored by the AAGL. He also received the prestigious Arnold P. Gold Foundation “Teaching and Humanism in Medicine” Award.

Dr. Baxi has also served as a member of the surgical case review committee while at the Mohawk Valley Health System.

In addition to proficiency in minimally invasive GYN surgical techniques, Dr. Baxi has been published multiple times in the Journal of Minimally Invasive Gynecology, and has presented scientific findings from multiple research studies at major national meetings. As an invited speaker, Dr. Baxi has also given several talks on such topics as Bloodless medicine and surgical techniques and Pelvic Organ Prolapse.

Kim Nieves, CRNP

Kim Nieves, CRNP

Kimberly Nieves is a Board Certified Family Nurse Practitioner. At The Center for Innovative GYN Care, Kimberly accepts new patients and existing CIGC surgery patients for primary GYN care, including annual Well Woman exams, acute and chronic conditions, and she addresses pre & post-op questions for CIGC surgical patients.

Kimberly received her Bachelors in Psychology from State University of New York at Stony Brook and studied nursing at the Lienhard School of Nursing at Pace University in New York.  She was accepted as a National Health Service Corp scholarship recipient and following her graduation from Pace University, she went on to practice as a Family Nurse Practitioner with a focus in Women’s Health, HIV and Hepatitis C treatment. She has functioned as preceptor to Nurse Practitioner students at various stages in her career. She has also had the opportunity to care for patients in the fields of Gastroenterology, Hepatology and Chronic Pain.

Kimberly has a passion for Women’s Health and patient education. In her desire to help patients become smarter about their GYN health, she takes the time to help patients understand what is happening with their bodies whether in an office consultation or over the phone.


Why We're Different

Specialist vs. Generalist

Learn why visiting a board certified, fellowship trained, minimally invasive laparoscopic specialist is your best option. View Infographic
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Benefits of DualPortGYN®

DualPortGYN® is a revolutionary advancement in minimally invasive GYN surgery, simplifying procedures for even the most complex conditions. See all the significant benefits of DualPortGYN here: View Infographic
Benefits of DualPortGYN® Close

LAAM®: A Better Myomectomy

A groundbreaking, uterine-sparing technique for the safer removal of fibroids. LAAM is one of the most complete minimally invasive fibroid removal for fertility options available worldwide. See all the life-changing benefits here: View Infographic
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The Robotics Controversy

According to ACOG (American Congress of Obstetricians and Gynecologists), robotic procedures offer no benefit compared to conventional laparoscopy or DualPortGYN, and are much more costly. Learn why CIGC never uses robotics. Learn More

The Specialist Advantage

Be a well-informed patient. Ask the right questions, seek out advanced trained and experienced specialists for a second opinion. Learn More

The CIGC Travel Program

Patients seeking the most advanced minimally invasive GYN surgery with the best possible outcome travel from all around the world to meet with Dr. Paul MacKoul and Dr. Natalya Danilyants. We welcome all patients who wish to travel for surgery at CIGC. Learn More

Our Patients Say It Best

After losing her mother and her grandmother to ovarian...

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I would recommend DualPortGYN to anyone. It is the...

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[Dr. MacKoul] came in and looked at the sonogram, and...

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After my consult with Dr. MacKoul, I realized it was...

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At first, I was skeptical because it seemed too good...

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My OBGYN was in awe and said Dr. Danilyants was an...

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Patient Spotlight
I will never regret my decision to have my fibroids removed at CIGC. I was back to work within a week! Now I'm one step closer to the baby I want. Read More

Dr Mackoul was my surgeon back in 2005 when I was first diagnosed with fibroids. Because of the amazing job he did then I reached out to CIGC when I my symptoms came back but even worse 10 years later. Best decision I ever made was to reach out to Dr Mackoul again. All these years later he remembered me. He was great then and even better now. I felt at easy with my decision right away and can believe how normal I felt a week after the procedure. I will never regret my decision to have my fibroids removed by Dr. Mackoul at the Center for Innovative GYN Care. I was back to work within a week and back to myself, my life within 2 weeks. I started a new job just a month before this diagnoses and couldn’t afford any time out of the office. I was able to work remotely during my recovery week and was back to work and my colleagues had no idea I had a major medical procedure. Now I’m one step closer to the baby I want.

I was scheduled for a laparoscopic hysterectomy. I have been a nurse for 24 years, and this man and surgery facility are BY FAR the best I have had the opportunity to be a part of. Read More

I was sent to Dr MacKoul due to a thickened endometrium that was believed to be Endometrial Cancer, Dr M was so quick to come into the exam room I almost didn’t get to sit down. He spent many minutes explaining the procedure, the possibilities depending on the pathology and answered the 100’s of questions I had even though I was receptive. I was terrified, he was very optimistic and due to my extreme anxiety over it, told me that he would do whatever he could to get me in for D & C quickly, I had my procedure 2 days later. I was then scheduled for a laparoscopic hysterectomy in 6 days following. LITERALLY I have been a nurse for 24 years, and this man and surgery facility are BY FAR the best I have had the opportunity to be a part of. My pain level following surgery was I have and will continue to tell EVERYONE needing any type of Lap surgery to see this man. I had even had THREE C-Sections to which he said “No Problem, I can do that”….and he certainly did. He is incredible and the nurses were just beyond any I have known. HIGHLY recommend him, do yourself a favor and go with the PROS at this office.

I have suffered for years with debilitating endometriosis, most doctors didn't understand or just wanted to give me pain meds instead of a real treatment. Dr. D was INCREDIBLE. Read More

I have suffered for years with debilitating endometriosis, most doctors didn’t understand or just wanted to give me pain meds instead of a real treatment. Dr. D was INCREDIBLE. She treated me with the utmost respect and had a wonderful bedside manner. The entire office comes HIGHLY recommended!!

I came from Atlanta to Maryland to have Dr. MacKoul perform a laparoscopic myomectomy. I had a 15 cm fibroid removed through two small incisions. Recovery was amazing! Read More

The staff was so friendly, the ppl at Innovative surgery center went above and beyond to make sure I was taken care of! I came from Atlanta to Maryland to have Dr. Mackoul perform a laparoscopic myomectomy. I didn’t like what I was being told in Atlanta! Dr. Mackoul called me and went over everything with me, his staff was extremely attentive, everything was set up before I got here. Dr. Mackoul was very thorough and my surgery went as planned smoothly. His operating nurses were top notch and so friendly! The anesthesiologist was great. Recovery was amazing because my recovery nurse really catered to me. I had a 15 centimeter fibroid removed through two small incisions. Im resting now at my hotel. I HIGHLY recommend Dr. Mackoul for your fibroid procedure! Thanks Dr. Mackoul for saving my uterus and taking great care of me!!! 🙂



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