Obstetrics and Gynaecology
Myomectomy in Nigeria
Fibroids are removed and the uterus is kept. It is the operation for a woman who wants her fertility preserved, or who simply does not want a hysterectomy, and it is the commonest planned gynaecological operation in Nigeria.
Also called: Fibroid surgery, Open myomectomy, Fibroid removal
Medically reviewed by Dr Debo Odulana, Founder and Chief Executive, Mezo. Last reviewed 3 October 2026. This page is general information, not a diagnosis. Care is decided with you after an examination.
Published price
₦950,000
Fixed all-in case rate, open myomectomy
Two units of blood cross-matched and available are included.
What the price covers
- Surgeon and assistant fees
- Anaesthetist and theatre time
- Two units of blood cross-matched and held
- Your bed for the expected three to four nights
- Routine medication while you are admitted
- Histology on the fibroids removed
- The post-operative review at six weeks
What it does not cover
- The first consultation and the tests that confirm you need the operation
- Treating conditions found during work-up, such as uncontrolled diabetes or an untreated infection
- Take-home medication after discharge
- Care for complications needing intensive care or a return to theatre
Related prices
Large or multiple fibroids, uterus above twenty weeks size
₦1,235,000
Repeat myomectomy, fibroids returned after previous surgery
₦1,235,000
What would change this price
- Blood transfused beyond the two units already included
- A hysterectomy becoming necessary during the operation, which is rare and is discussed with you before you consent
- A stay longer than the expected three to four nights
- Treating anaemia severe enough to delay the operation
Many HMO plans exclude or cap fibroid surgery. Prior authorisation is filed by the desk, and the cash price is confirmed with you either way before anything is booked.
Who this is for
- Heavy periods causing anaemia
- Pelvic pressure, a swollen abdomen, or pressure on the bladder or bowel
- Fibroids thought to be contributing to difficulty conceiving or recurrent miscarriage
- Fibroids that are growing, or that are causing pain
When it is not the right answer
- Small fibroids causing no symptoms, which usually need nothing at all
- A woman who has completed her family and would be better served by a hysterectomy, which is the definitive operation
- Anyone who is significantly anaemic, until that has been corrected first
The pathway, step by step
- 1
Scan and consultation together₦35,000
Pelvic ultrasound and the consultant appointment in one visit. The number, size and position of the fibroids decide which operation is right.
- 2
Bloods and correcting anaemia
Operating on an anaemic woman is avoidable risk. Iron is started first where it is needed.
- 3
Your decision, with the alternatives named
Doing nothing, medication, myomectomy and hysterectomy are each explained with their cost, so the choice is yours and not assumed.
- 4
The operation
Two to three hours under general or spinal anaesthetic. The fibroids are removed and the uterus repaired.
- 5
Three to four nights in hospital
Walking the day after surgery. Discharged with painkillers and a written plan.
- 6
Review at six weeks, with your histology₦25,000
Results explained in person, and a conversation about trying to conceive if that is why you came.
Recovery, realistically
Days 1 to 4
In hospital. Up and walking from day one, which is what prevents clots.
Week 1 to 2
At home, tired, sore across the wound. No lifting and no driving.
Week 2 to 4
Most women return to desk work between two and four weeks, depending on the job.
Week 6 onwards
Full activity. If you are trying to conceive you will be given a specific interval to wait, usually three to six months.
Risks you should be told about
- Bleeding needing transfusion, which is why blood is cross-matched in advance
- Conversion to hysterectomy, rare, and discussed before you consent
- Adhesions forming inside the abdomen
- Fibroids recurring over the years, in up to a third of women
- A scar in the uterus that may mean a planned caesarean in a future pregnancy
Every operation carries risk. A surgeon who lists none is not being straight with you. Yours will go through these with you before you consent.
Questions people ask
Will I still be able to have children?
Myomectomy is the operation chosen to keep the uterus. Whether it improves your chance of conceiving depends on the number, size and position of your fibroids. Your surgeon should give you an honest assessment for your case rather than a promise.
Why am I always told to go to India?
Because the price there is published and the price here usually is not. For a straightforward myomectomy the surgery is not more advanced abroad. What travel buys is certainty about the cost and the date, which is exactly what is published on this page.
Will the fibroids come back?
They can, in up to a third of women over the following years, and more often in women who were young at the time of surgery. This is not a failure of the operation.
How long will I be off work?
Two to four weeks for desk work and longer for physical work. You are given a written return to work plan rather than a vague answer.
Can it be done by keyhole?
For some women, depending on fibroid size and position. It costs more and not every fibroid is reachable that way. You will be told plainly which applies to you.
Prices shown are Mezo cash prices in naira and were last checked on 3 October 2026. They are what you would be quoted for the standard case described here. Your final quote follows an examination, because the right operation for you may not be this one.