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Gynecology surgery includes any surgical procedure that involves the organs and structure of the female pelvic region: the uterus, ovaries, cervix, fallopian tubes, vagina and vulva. There are many reasons why a woman might need to undergo gynecology surgery. She may need treatment for a condition such as endometriosis, fibroids (benign tumors), ovarian cysts, cancer, chronic pelvic pain, pelvic inflammatory disease, uterine prolapse or abnormal bleeding. Gynecology surgery can also be used as permanent birth control.