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Today, this is a surgery that is done laparoscopically (through 1 centimeter incisions in your abdomen) and typically takes less than one hour in skilled hands. For women who are BRCA positive, the fallopian tubes are removed with the ovaries because they can develop the same cancer as the ovaries. The uterus does not need to be removed, so the surgery is not called a hysterectomy but a bilateral salpingoophorectomy (or BSO).
The doctor locates the ovaries below the abdominal muscles. One or both ovaries (or parts of the ovaries) are then removed. The fallopian tubes may be removed at this time as well. In the second method, a small incision is made in the navel (belly button) and a laparoscope is inserted.