Dr. Smeet Patel - Surgeon. Innovator. Teacher.
As one of India's most sought-after endometriosis surgeons, Dr. Smeet Patel brings together surgical precision, scientific rigour, and deep empathy for every patient he treats. He is the Director at Mayflower Women's Hospital, Ahmedabad — India's only AAGL-accredited Endometriosis Centre of Excellence.
Dr. Smeet doesn't just operate — he innovates. He is the creator of pioneering surgical methodologies including the Mayflower Butterfly Peritonectomy, the Rule of M, and the Mathematics of Endometriosis Surgery, techniques that are reshaping how the world understands and treats this complex disease.
With over 8,000 surgeries to his name, including the most complex Stage 4 deep infiltrating endometriosis cases, Dr. Smeet is recognised as an international faculty member at AAGL, FIGO, ISAR, IAGE, and APAGE — and as the surgeon women travel from across India and the world to trust.
"Cut with care. Build with purpose. Lead with soul."
- Dr. Smeet Patel
Why the World Calls Him One of the Best Endometriosis Surgeons
Recognition & Scale
- 8,000+ surgeries including the most complex Stage 4 deep infiltrating endometriosis
- International faculty at AAGL, ISAR, FIGO, IAGE, APAGE
- Patients from Delhi, Mumbai, Hyderabad, Dubai, UK, USA, Canada, Australia fly to him for precise laparoscopic excision
Center of Excellence
- Mayflower Endometriosis Clinic, Ahmedabad — equipped for advanced fertility-preserving endometriosis surgery
- The only AAGL-accredited centre in India
- Complete multi-functional surgical team: endometriosis specialists, urologist, gastroenterologist, physician, and gynecologists
A Global First – Surgical Innovations & Intellectual Properties
Dr. Smeet Patel is among the first in the world to introduce structured, IP-backed surgical methodologies in endometriosis surgery. His innovations have not only redefined treatment protocols but have also become reference frameworks for gynecologic surgeons worldwide.
Surgical IPs Developed by Dr. Smeet Patel
Mayflower Butterfly Peritonectomy
A radical yet anatomically respectful method to completely excise pelvic peritoneum in obliterated planes, improving surgical clearance and reducing recurrence.
Rule of M
A triage and mapping protocol for bowel endometriosis, enabling better pre-surgical planning and minimizing unnecessary resections.
Substack link5 and 9 Levels of Ureterolysis
A pioneering, layered ureter dissection technique for ureteric endometriosis — enhancing surgical safety and protecting renal function.
Substack linkTissue Taxonomy: Fantastic Tissues and Where to Find Them
A world-first documentation and taxonomy of endometriosis tissue types found across the pelvis. Enables greater anatomical predictability and precision.
Substack linkMathematics of Endometriosis Surgery
Mapping of lesions based on surgical probability; algorithmic approach to cystectomy, ureterolysis, vascular web dissection, and peritonectomy.
Endometriosis Interna of the Ovary
One of the first protocols addressing intramedullary and cortex involvement of ovarian endometriosis, previously uncharacterized in literature.
Organ-Preserving Surgery
A term coined by Dr. Smeet to describe lesion-targeted excision that avoids radical organ resection — especially for colon and rectal involvement.
MRI Protocol
Collective learnings from 1,000+ cases of endometriosis — covering the importance of MRI in diagnosis and disease mapping to deliver the best possible outcomes.
Substack link5 Forces of Fibrosis
The fibrosis of the tissue at the end isn’t simply a cessation of growth, but it also serves as a substrate for further growth, and even invasion of the disease into surrounding anatomy.
Substack linkMore Than Techniques — They're Global Guidelines
Severe Endometriosis Surgery
Rule of M
5 Levels of Ureteric Dissection
Mathematics of DIE
Deep Infiltrating Endometriosis – IAGE
Mayflower Butterfly Peritonectomy
Tissue Taxonomy
A Surgical Artist's Canvas - Disease Areas He Excels In
Deep Infiltrating Endometriosis (DIE)
Dr. Smeet leads India's efforts in identifying and treating DIE across:
- Bowel, rectum & sigmoid colon (via rectal shaving, anterior discoid resection, and Resection & Anastomosis)
- Ureteric & bladder endometriosis
- Parametrium & vascular involvement
- Vaginal vault involvement
- Ovarian involvement
- Appendicular and ileo-cecal along with small bowel endometriosis
- Diaphragmatic endometriosis
- Uterine: Adenomyosis
- Nerve-Sparing Surgery in Endometriosis
Ovarian Endometriosis & Chocolate Cysts
- Excision of endometrioma while preserving ovarian reserve
- Re-establishment of tubo-ovarian relationships
- Post-surgical success in natural conception and IVF
Adenomyosis & Internal Endometriosis
He employs:
- Elliptical and Hood Techniques for adenomyosis excision
- Reconstruction and strengthening of the uterus, optimising for healthy pregnancy outcomes
- Hormone-free, uterus-conserving solutions
Fertility-Focused & Minimally Invasive Care
Dr. Smeet Patel's care model centers around:
- Root-cause removal: excision > ablation or hormonal suppression
- Natural fertility enhancement post-surgery
- Avoiding resection where possible via Organ-Preserving Surgery concepts
- Precision tools: laparoscopic myomectomy, cystectomy, adhesiolysis
The Math Behind Miracles - Mathematics of Endometriosis Surgery
| Episode | Title | Watch / Read |
|---|---|---|
| Ep 1 | Mapping & Diagnosis | View Episode |
| Ep 2 | Ureterolysis Simplified | View Episode |
| Ep 3 | DIE Cystectomy | View Episode |
| Ep 4 | Peritonectomy Masterclass | View Episode |
| Ep 5 | Vascular Web Dissection | View Episode |
Credentials, Awards & Contributions
Academic Foundation
- MBBS, MS (Ob-Gyn) – NHL Medical College, Ahmedabad
- Secured Top 20 Rank in State of Gujarat
- President, Junior Doctors Association of Gujarat (2017–2019)
Medical Author & Educator
- Founder, Endometriosis Weekly (45K+ subscribers)
- Speaker at global medical summits: AAGL, ISAR, FIGO, IAGE, APAGE
- Peer-reviewed articles in indexed journals
Published Articles
| Publication | Link |
|---|---|
| Traumatic pseudoaneurysm of aorta – IJRCOG | View Article |
| Meconium-stained amniotic fluid – Innovative Publication | View Article |
| Can Diabetes Cause Infertility In Men – Times Now | View Article |
| Endometriosis & Heart Attack Risk – Healthshots | View Article |
| High Blood Sugar & Female Fertility – India Today | View Article |
Entrepreneurial Healthcare Builder
- El & El MedTech – Tools for MIS and regenerative surgery
- ATCG Lifesciences / Luaq Cosmetics – Pharmaceutical, Nutraceutical & Cosmeceutical innovations
- Jadai – AI-MRI-surgical integration
The Mayflower Vision
- Mayflower Fertility Solutions – Egg Freezing Centre, Gyne-Cosmetology, and Pelvic Care
- Mayflower Institute of Medical Sciences – Recognized by FOGSI, IAGE, KARL STORZ
- Mayflower Foundation – For public education and surgical philanthropy
Philosophy of Care — The Soul of the Surgical Artist
"We listen deeply, teach freely, and treat accurately. Because trust is the first incision in healing."
- Dr. Smeet Patel
Root-Cause Focused
- Symptom-masking is passé
- Precision excision is permanent
Emotionally Intelligent Medicine
- Full transparency
- Female co-evaluators during intimate exams
- Empathetic counselling pre/post-op
Customized Protocols
Whether for adenomyosis, chocolate cysts, or total laparoscopic hysterectomy for endometriosis, every protocol is designed around the woman, not just the disease.
Patient Journeys
"After years of misdiagnosis, I walked pain-free in 2 weeks. He didn't just operate — he explained, empowered, and stayed present."
- Aarushi, Vadodara
"I was told I couldn't conceive. After excision by Dr. Smeet, I conceived naturally in 4 months."
- Pooja, Delhi
"He handled bowel and bladder lesions in ONE laparoscopic session — no open surgery, no colostomy."
- Farzana, Hyderabad
"More than a surgeon, Dr. Smeet became a support system. From diagnosis to post-op checkups, the care was holistic, respectful, and completely transparent. I'd recommend him to anyone looking for the best endometriosis specialist in India."
- Anonymous patient
FAQs
If innovation, empathy, and outcomes define 'best,' Dr. Smeet Patel is one of the finest — recognized globally and trusted nationally.
Period pain that disrupts life; infertility or failed IVF; pain during sex or bowel movement; symptoms unresponsive to medication.
Pain-free periods; preserved fertility; no recurrence at 7+ years.
Minimally invasive surgery — particularly laparoscopic excision — is the gold standard. Dr. Smeet Patel is globally regarded for this approach, allowing precise removal of lesions with minimal trauma, faster recovery, and excellent fertility outcomes.
Absolutely. Dr. Smeet's fertility-enhancing surgeries aim to restore normal anatomy, reduce inflammation, and preserve ovarian reserve — creating a better foundation for both natural conception and IVF.
Dr. Smeet Patel's signature world-first technique for layered excision of deep infiltrating lesions while respecting surrounding anatomy. Especially effective for parametrium endometriosis, ureteric involvement, and multi-quadrant disease.
Ovarian endometriosis often presents as endometriomas (chocolate cysts), which can damage ovarian tissue and affect fertility. Dr. Smeet's approach involves meticulous cystectomy with preservation of healthy ovarian tissue.
While fertility-preserving approaches are always prioritized, in certain cases — especially severe adenomyosis or widespread disease unresponsive to conservative measures - a TLH may be advised. Dr. Smeet ensures this decision is rooted in shared understanding and long-term wellbeing.
Ready to Redesign Your Life?
In-person: Mayflower Women's Hospital, Ahmedabad
Virtual: Video consults from India & abroad