Do you need a referral for cone biopsy?

A cone biopsy, also called cervical conisation, removes a cone-shaped piece of cervical tissue for assessment or treatment. It is usually considered after cervical screening, colposcopy, or a biopsy has shown that a more substantial sample is needed.

A specialist team reviews the reason for the procedure, your previous results, medicines, allergies, pregnancy possibility, and plans for future pregnancy. Referral does not by itself confirm cancer; it means the cervical tissue needs specialist assessment or treatment.

Ask the clinician who discussed the result whether the referral has been sent, which specialist service will receive it, and how you will be contacted. If you are using a private service, ask whether it accepts self-referrals or needs a letter from a doctor.

Tell the team about blood-thinning medicines, allergies, possible pregnancy, and any bleeding or infection symptoms. Ask about preparation, anaesthesia, recovery, and how results will be shared. Read more about [cone biopsy](/treatments/gynaecological-surgery/cone-biopsy/).

Contact your clinician promptly if you have persistent bleeding, bleeding after sex, unusual discharge, or pelvic pain while waiting. After a procedure, urgent assessment is needed for heavy bleeding, severe pain, fever, foul-smelling discharge, fainting, or marked weakness.

Ask what the procedure is intended to clarify or treat, which specialist will perform it, whether referral has been accepted, how long the wait may be, and how it could affect future pregnancy. Confirm whom to call if your symptoms change.