View all recommendations from this society

November 15, 2017; Updated October 11, 2019

Do not perform routine oophorectomy in premenopausal women undergoing hysterectomy for non-malignant indications who are at low risk for ovarian cancer.

Outside of high risks populations, the association of oophorectomy with increased mortality in the general population has substantial implications, particularly as it relates to higher rates of coronary heart disease and cardiovascular death. The long-term risks associated with salpingo-oophorectomy are most pronounced in women who are younger than 45-50 years of age but ovarian conservation until age 65 is of benefit.

These items are provided solely for informational purposes and are not intended as a substitute for consultation with a medical professional. Patients with any specific questions about the items on this list or their individual situation should consult their physicians.

How The List Was Created

As an international leader in the advancement of minimally invasive surgery, AAGL relies on its society members and board to determine the various needs and best practices to promote safe, higher quality care to patients. The list of things to question provided to the Choosing Widely campaign was submitted to the AAGL Board, who developed a subcommittee dedicated to analyzing the recommended interventions. The subcommittee of expert surgeons in the field of minimally invasive surgery recommended and developed a more effective use of health care resources, along with safe techniques to practice. The submitted list was reviewed and approved by the AAGL Board.


Evans EC et al. Salpingo-oophorectomy at the time of Benign Hysterectomy. Obstet Gynecol 2016;128:476-485.

Parker WH et al. Long-term Mortality Associated with Oophorectomy versus Ovarian Conservation in the Nurses’ Health Study, Obstet Gynecol 2013;121(4):709-716.