7922 Ewing Halsell Drive, Suite 420,San Antonio, TX 78229

Call: 210.614.8900
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Dr. Miller always considers minimally invasive surgical approaches first. She treats most gynecologic issues with minimally invasive or nonsurgical approaches, including:

Laparoscopic surgery

Most common gynecologic conditions used to be treated with traditional surgery, larger incisions, and slower recoveries. Today, we can treat most gynecologic issues using this minimally invasive treatment approach. The laparoscope is a thin, lighted instrument inserted through a small incision to look at pelvic organs and sample tissue for biopsy.

Laparoscopic hysterectomy

Hysterectomy can be a complicated procedure with a long recovery. Thanks to minimally invasive surgery and Dr. Miller’s skill, it can now be performed laparoscopically – even in the most complex cases – with no large abdominal incision. Most patients are resting at home 24 hours after the procedure.

Tubal ligation

Tubal ligation can be done laparoscopically, during a cesarean delivery, after a vaginal delivery, or hysteroscopically with Essure®. Essure birth control is a safe, FDA-approved procedure for permanent birth control that is performed right in the office. And unlike traditional tubal ligation, there are no incisions or punctures made to the skin, making this a permanent, nonsurgical alternative to hysterectomy.

Endometrial ablation

For women who have completed childbearing, an effective approach to heavy menstrual flow is endometrial ablation. This quick, incision-less outpatient procedure destroys the uterine lining – and can eliminate many heavy-bleeding problems.


Dr. Miller uses this to inspect the uterine cavity with an endoscope placed in the cervix. Hysteroscopy allows for the diagnosis of intrauterine conditions such as abnormal vaginal bleeding, fibroids, or uterine polyps. It also facilitates surgical female sterilization.

Sling procedure for urinary incontinence

The tension-free transvaginal tape (TVT) procedure inserts a synthetic tape, usually made of prolene, between the vaginal and abdominal walls. In four to six weeks, new tissue will hold the tape in place. The tape creates a supporting sling that allows the urethra to more easily be squeezed shut. TVT has a 96% success rate at eliminating or significantly easing the problem.


For advanced minimally invasive surgical care that’s safer and more effective, look to Patience Miller, MD, OB-GYN. Call 210.614.8900 or use our online Request an Appointment form to schedule your one-on-one consultation. Our gynecologic surgery patients come to us from Alamo Heights, Castle Hills, Hollywood Park, Helotes and San Antonio.

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“ Patient Reviews ”

"There are not enough positive things I can say about Dr. Miller. From the very first time I met her I knew I would stay with her for as long she continued to practice as an OBGYN. Her calm and confident demeanor have always put me at ease whenever I've visited her, and I've never once questioned her decisions...

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