For Surgeons – MIGS

The “For Surgeons – MIGS” page is designed for surgeons, fellows, residents, PA’s, RNFA’s, CST’s and medical students who want to gain access to surgical techniques as well as information on specific conditions and challenges concerning women.

The videos are either linked or embedded. If you feel the need to use my video to teach other surgeons or medical students, then please remember to give me credit. I spend a great deal of time editing these videos with teaching in mind.

Furthermore, I need feedback! If a video is unclear or you would like to see a video on something specific, just let me know at

With that said I humble myself to the many surgeons around the world that have far more advanced skills than I do and invite constructive criticism and welcome new ideas and videos. If I do use or link to one of your videos I will need your permission and will give you credit.

Lastly, I realize that there are many ways to do procedure as well many excellent products that are used in those procedures. Please respect that this is the way I presently do things and that surgery is a constantly evolving art. What I do now I may have done differently one year or even ten years ago. Please see my, “Industry Disclosure” page so that you can see my relationship with industry.

Excellence in MIGS: Take it to the next level!

DISCLAIMER: The videos provided are not designed to be a substitute for surgical training. They are here to show you “my” techniques and it is important to remember that a surgeon’s experience and resources vary and a multitude of variations may arise from patient to patient.

What is percutaneous surgery?

Step it up! You can do it!

The road to Minimally Invasive Surgery is a journey. It takes you down different roads that will get you to the same place (different techniques with the same good outcome). It can, however, have many bumps and sometimes potholes, along the way. This is when you reach out to one of the many MIS teachers you have met along the way. I always get emails asking my advice and I am always asking others for their advice too. Most of us went through our journey alone and I don’t want you to have to experience the same. Reach out to us and never say, “This may be a stupid question but…” because its not!

I was always one of the first people up and out of my seat to have my questions answered. So many people would go up to the presenter and talk about the “good ole times” and “Sally says hi, etc.” and I wouldn’t get my questions asked. But that’s the presenter’s job: To teach! I made a promise to never leave until everyone’s questions were answered and that’s what I do (unless racing to another lecture and then I give my personal card to whoever I could not get to). I can remember at the AAGL in Vancouver; CK Khoo and I had finish presenting at the Surgical Complications symposia and we stayed and answered all the questions. When we were done they were closing up the room! It felt great and we did a lot of selfies with the participants.

I can remember watching Tommaso Falcone show a video at ASRM many years ago on retroperitoneal dissection for deep endometriosis. I really, really wanted to learn that technique. I was young and nervous and went up to him afterwards and asked if I could buy his video. He was so nice and turned to me and said, “ I would gladly give it to you, just contact me.” And to this day he is so easy to approach and ask questions. This made me want to teach the same way!

When I first stated performing minimally invasive surgery in 1988 I was basically on my own. Learning from the school of hard knocks struggling not only with learning techniques but with my colleagues resisting change and being afraid of the new techniques we were developing. I can remember at one evening department meeting the Chairman wanted to bring me up on ethics charges for lying on the operative report of my LSH. I stated that blood loss was about 25cc and it was! Thank God another colleague had been there watching and backed me up. This still happens today.

Today you can subscribe to many channels on YouTube and learn surgical techniques, and I enjoy watching other people’s work. We need to break out of our egos and work together and share. I salute those surgeons who still record their surgeries (in this medical legal world) and then go on to edit them for us to see. It can take me “hours” just to edit one video into a decent presentation.

I think set up is just as important as technique. I believe in great equipment and “not” what your hospital thinks you need. I want the best for my patients and what reduces stress for me and the O.R. staff.

Team Building
OR set up

Team Building

Starts with a great team! Those assistant surgeons or PA’s, nurses and surgical scrubs that have been amazing and have helped you develop your “game.”

Find them and keep them if you can. So many surgeons get a “new team” each time they operate and this is unfair and nonproductive.

OR set up

We use the Storz O.R. 1 rooms and are very happy. This figure sow how we set up for a MIGS surgery the majority of the time:



The “triangle” opening has gone out of popularity years ago for MIGS. We use a rectangle and the cheapest drape for that is the lap. Choly drape but the “best” drape is the robot drape by Kimberly Clark

Equipment and why?



Your essential tools for MIS