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Opportunistic Salpingectomy

Physicians in British Columbia are at the forefront of preventive health care, championing opportunistic salpingectomy (OS) as a transformative approach to reducing ovarian cancer risk.

This innovative procedure involves removing the fallopian tubes during a hysterectomy or other pelvic or abdominal surgeries for women who have finished having children or are undergoing surgery for non-cancer-related reasons. Research shows that many ovarian cancers originate in the fallopian tubes, positioning OS as a highly effective preventive measure.

Started by BC physicians, in collaboration with the Ministry of Health and the Specialist Services Committee’s Perioperative Clinical Action Network, the opportunistic salpingectomy project received funding from Shared Care in 2024 to support education and implementation throughout BC. In 2025-26, funded by the Specialist Services Committee, the project aims to expand OS into routine surgeries performed by general and urologic surgeons, to broaden its impact.

By embedding OS into standard practices, BC is advancing women’s health to help reduce ovarian cancer risk without requiring additional surgeries. For more information, refer to the resources below, including an educational pamphlet, a consent handout, and a video explaining OS for general and urologic surgeons.

Resources

  • For patients: Opportunistic Salpingectomy - Ovarian Cancer Prevention Educational Pamphlet
  • For physicians: Opportunistic Salpingectomy Consent Handout
  • For general and urologic surgeons: Video: Expanding Uptake for Opportunistic Salpingectomy in BC
    This 13-minute video, narrated by general surgeon and surgical oncologist Dr Heather Stuart, explains the science and benefits of opportunistic salpingectomy for general and urologic surgeons interested in learning more. It covers counsel and consent, anatomical considerations, surgical procedures and risks, and troubleshooting options. 

 

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The Specialist Services Committee acknowledges that we work on the traditional, ancestral, and unceded territories of many different Indigenous Nations throughout British Columbia.

Acknowledging that we are on the traditional territories of First Nations communities is an expression of cultural humility and involves recognizing our duty and desire to support the provision of culturally safe care to First Nations, Inuit, and Métis people in BC. 

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