Implications of obesity on gynaecological surgery

This review on the impact of obesity on gynaecological surgery highlights the effect of obesity on various aspects of reproductive health including fertility, heavy menstrual bleeding, pelvic floor dysfunction and endometrial cancer. We discuss the anaesthetic concerns surrounding the obese patient requiring surgery, and the technical aspects of operating on the obese patient including laparoscopic and open surgery. The intraoperative and postoperative complications associated with obesity are also explored.