What to expect from risk-reducing removal of the ovaries and tubes for a BRCA gene mutation

This operation is called risk-reducing salpingo-oophorectomy. The surgeon removes both fallopian tubes and ovaries, usually through minimally invasive or open surgery depending on your circumstances. It is generally planned after discussion of your BRCA result, age, family plans and personal medical history.

If the ovaries are still working, removal brings on surgical menopause. Hot flushes, sleep disturbance, vaginal dryness, mood changes and bone or heart-health considerations may need attention. Hormone therapy may be suitable for some people, but it depends on personal and cancer-related factors. The operation also ends natural fertility, so discuss fertility preservation before scheduling it.

Ask whether the uterus will remain, what operation route is planned, and whether a specialist review is needed. Prepare medicines, transport and help with household tasks. After surgery, walking is encouraged as advised, while lifting and strenuous activity wait until your team clears them. Keep follow-up appointments to review healing and menopause care.

See [Risk-Reducing Removal of the Ovaries and Tubes](/treatments/risk-reduction-and-prevention/risk-reducing-salpingo-oophorectomy/) for an overview.

Report fever, worsening abdominal pain, heavy vaginal bleeding, vomiting, wound redness or discharge to your surgical team. Get urgent help for fainting, severe breathlessness, chest pain, or a painful swollen leg. Do not wait for a routine appointment if symptoms are severe or rapidly worsening.

When is surgery appropriate for my BRCA result? How will fertility and menopause be addressed? Is hormone therapy an option for me? What symptoms need urgent review? When can I return to work, exercise and sexual activity?