Dr. Smeet Patel - Surgeon. Innovator. Teacher.
Dr. Smeet Patel is a laparoscopic surgeon with a special interest in endometriosis, bringing together surgical precision, scientific rigour and empathy for every patient. He is the Director at Mayflower Women's Hospital, Ahmedabad, whose Endometriosis Clinic is accredited by AAGL as a Centre of Excellence.
Dr. Smeet has developed surgical methods including the Mayflower Butterfly Peritonectomy, the Rule of M and the Mathematics of Endometriosis Surgery, which he teaches to other surgeons.
His clinical work includes complex Stage 4 deep infiltrating endometriosis. He serves as international faculty at AAGL, FIGO, ISAR, IAGE and APAGE, and sees patients from across India and abroad.
"Cut with care. Build with purpose. Lead with soul."
- Dr. Smeet Patel
Experience and Training
Recognition & Scale
- Surgical care for 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
Centre of Excellence
- Mayflower Endometriosis Clinic, Ahmedabad, equipped for fertility-preserving endometriosis surgery
- AAGL-accredited Centre of Excellence
- Complete multi-functional surgical team: endometriosis specialists, urologist, gastroenterologist, physician, and gynaecologists
Surgical Methods & Intellectual Properties
Dr. Smeet Patel has introduced structured, IP-backed surgical methods in endometriosis surgery, which he presents and teaches at national and international meetings.
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 minimising unnecessary resections.
Substack link5 and 9 Levels of Ureterolysis
A layered ureter dissection technique for ureteric endometriosis, designed to support surgical safety and protect kidney function.
Substack linkTissue Taxonomy: Fantastic Tissues and Where to Find Them
A documentation and taxonomy of endometriosis tissue types found across the pelvis, intended to improve anatomical predictability during surgery.
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
A protocol addressing intramedullary and cortex involvement of ovarian endometriosis, an area with limited description in the 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
Learnings from endometriosis cases, covering the role of MRI in diagnosis and disease mapping to support surgical planning.
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 linkSurgical Approaches Taught to Other Surgeons
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 centres 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 & 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 to 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, Recognised 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
- Excision aims to remove disease at its source
Emotionally Intelligent Medicine
- Full transparency
- Female co-evaluators during intimate exams
- Empathetic counselling pre/post-op
Customised Protocols
Whether for adenomyosis, chocolate cysts, or total laparoscopic hysterectomy for endometriosis, every protocol is designed around the woman, not just the disease.
FAQs
Look for a surgeon with specialist training in laparoscopic excision, experience with deep infiltrating disease, access to a multidisciplinary team, and a clear explanation of risks and expected recovery.
Period pain that disrupts life; infertility or failed IVF; pain during sex or bowel movement; symptoms unresponsive to medication.
Goals usually include less pain, protection of fertility where possible and a lower chance of recurrence. Results vary between patients, and your surgeon will discuss realistic expectations with you.
Minimally invasive surgery, particularly laparoscopic excision, is widely used for endometriosis. Lesions are removed through small incisions, which can mean less trauma and a quicker recovery than open surgery. Dr. Smeet Patel has a special interest in this approach.
It can help in some cases. Fertility-enhancing surgery aims to restore normal anatomy, reduce inflammation and preserve ovarian reserve, which may support natural conception or IVF. Your surgeon and fertility specialist will discuss whether it suits you.
A technique developed by Dr. Smeet Patel for layered excision of deep infiltrating lesions while respecting surrounding anatomy. It is used 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 prioritised, 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