A surgical abortion is a medical procedure that ends a pregnancy. While the term “surgery” is often used, most abortions are minimally invasive and don’t require general anesthesia. Surgical abortions are a good option for people who want their abortion completed in a clinic or hospital setting.
Medical abortions, which are also an option for most people, take place primarily at home.
Most surgical abortions are completed with a gentle suctioning technique known as vacuum aspiration. While you may be at the clinic for a few hours, the procedure itself typically takes only
Surgical abortion is often an option longer into a pregnancy than medical abortion, or “the abortion pill.” But how late into pregnancy you can get an abortion depends on the laws in your state, and the policies of the clinic or hospital you go to.
Due to recent changes in abortion laws in the United States, it’s no longer possible to get a surgical abortion in some states. But you still have options: You can get abortion pills mailed to you. Keep reading to learn more about your options.
On June 24, 2022, the Supreme Court of the United States overturned Roe v. Wade, the landmark 1973 ruling that secured a person’s constitutional right to an abortion.
This means that individual states are now able to decide their own abortion laws. Many states will ban or severely restrict abortion access, and more states may follow suit.
The information in this article was accurate and up to date at the time of publication, but it’s possible the information has changed since. To learn more about your legal rights, you can message the Repro Legal Helpline via a secure online form or call 844-868-2812.
It used to be that when you needed to end a pregnancy in the United States, you had a few options. Since Roe v. Wade was overturned in June 2022, pregnant people in many states have seen these options disappear. Surgical abortions are no longer available in some states, which means you may need to travel to get one.
Both medical and surgical abortions are safe and effective healthcare procedures. And medical abortion is now a more accessible option for a lot of people.
But there are several reasons people may choose surgical abortion over medical abortion. These include:
- Gestational age: If it’s been more than 11 weeks since the first day of your last period, medical abortion won’t be as effective.
- Procedure time: Surgical abortions are finished after a few hours at the clinic, while medical abortions can take up to 24 hours.
- Medical staff: Some people prefer to have their abortion under the supervision of doctors and nurses, rather than at home.
- Confirmation: After a surgical abortion, your doctor examines your uterus to make sure the procedure is complete.
- Medical history: People with certain health conditions, like bleeding disorders, may feel safer in a hospital.
How they’re different
During a surgical abortion, doctors use gentle suction to remove the contents of the uterus. These procedures are very safe and are effective more than 99 percent of the time. In the rare event the procedure is unsuccessful, it can be repeated.
A medical abortion involves taking a combination of medications (mifepristone and misoprostol) that help end the pregnancy and push out the contents of your uterus.
The abortion pill is effective 94 to 96 percent of the time in people who have been pregnant for 9 weeks or less. It becomes slightly less effective in the following weeks. However, the dose can be adjusted if needed.
In the event a medical abortion is unsuccessful, it can be completed surgically.
Where to get abortion pills online
You can get abortion pills online, no matter where you live. But it’s important that you get them from a safe, reputable place. Here are a few options:
On the day of your procedure, you can expect to be at the hospital or clinic for 3 to 4 hours. While the procedure itself is quick, you’ll need to read and sign some paperwork, prepare for the procedure, and spend some time in the recovery room.
Before your procedure begins, a doctor or nurse may give you some medication to help with cramping. They may also give you medication to help open your cervix, the passageway between your vagina and your uterus.
Sometimes, doctors insert small dilators into the cervix a few hours before your procedure, or even the day before. These dilators absorb fluid from your body. As they slowly grow bigger, they stretch open your cervix.
Before your procedure begins, you will typically be offered light sedation. Depending on the type of sedation the doctor uses, you might feel sleepy and calm but remain awake, or you might fall completely asleep.
A vacuum aspiration, which is the most common type of abortion, takes about 5 to 10 minutes to complete.
During your procedure, the doctor and nurses will:
- examine your uterus
- insert a speculum into your vagina
- stabilize and inject a numbing medication into your cervix
- insert dilators to open your cervix
- insert a tube through the cervix, into the uterus
- use gentle suction to pull pregnancy tissue out of the uterus
Many people will feel cramping during the procedure, but the cramping typically decreases after the tube is removed from the uterus.
Immediately after your procedure, your doctor may check your uterus to ensure it’s completely empty. You’ll then be moved to a recovery area to rest.
If it’s been longer than 16 weeks or so since your last period, your doctor may perform a modified procedure known as a dilation and evacuation (D&E). These procedures typically involve stronger suction and additional surgical tools that help your doctor remove the pregnancy tissue from your uterus.
The cost of surgical abortions varies depending on several factors. According to Planned Parenthood, a surgical abortion can cost up to $750, but it often costs less. Factors that may affect cost include:
- the state you live in
- the facility where you get care
- whether you can use health insurance
- whether your insurance plan covers abortion
- the type of abortion you get and week of pregnancy
Other things to think about include the cost of logistics like travel, child care, and time off work.
Cost should not stand in the way of your choice to end a pregnancy. If you’re worried about costs, you can contact the Planned Parenthood nearest you for information on financial assistance.
Need help with abortion costs?
You can also turn to the National Network of Abortion Funds for assistance. They can connect you with organizations that help cover the cost of abortions, as well as associated costs like lodging and child care.
Before your abortion, you’ll meet with a healthcare professional who will explain the procedure and let you know what to expect on the day of your appointment. They may give you some instructions on how to prepare for your procedure. It’s important that you follow these instructions carefully.
Some things you can do to prepare for your surgical abortion include:
- arranging for someone to drive you home after the procedure
- taking your pain or dilation medications as instructed
- avoiding eating or drinking on the morning of the procedure, if directed to do so
- following your doctor’s instructions about when to take (or stop taking) your regular medications, including over-the-counter (OTC) pain relievers like acetaminophen (Tylenol) and ibuprofen (Advil, Motrin)
- avoiding alcohol the day before your procedure
- buying some menstrual pads for post-procedure bleeding (doctors often recommend pads, but you can use whatever is most comfortable for you)
- stocking up on OTC pain relievers to help treat cramping
- getting a heating pad or hot water bottle to help ease cramping
Avoid taking the OTC pain reliever aspirin, or medications that contain aspirin, because it can increase bleeding.
It’s important to take it easy on the day of your abortion. Some people are able to return to their usual activities (except for heavy lifting) the next day, but others may need more time. It may feel like you have bad period cramps for a few days.
Many people experience bleeding and cramping after an abortion, but some don’t. You may experience heavier bleeding (like a period), including blood clots, or just spotting. Some people continue to have spotting for several weeks.
However, if you experience really heavy bleeding — bleeding that soaks through two pads an hour, for at least 2 hours in a row — call your doctor or the clinic where you got your abortion.
Your doctor will give you information about what to expect in the days following your procedure. This will include information on any medications you may need to take.
Your doctor may recommend an OTC pain reliever to help with cramping. They may also prescribe antibiotics to help prevent infection.
Continue to take your antibiotics until the bottle runs out. This is important, even if you feel fine.
Depending on your situation, some doctors will advise a follow-up appointment a few weeks after your procedure.
Sex and your period
Your period should return about 4 to 8 weeks after your abortion.
Because there is a small risk of infection after surgical abortion, doctors have different philosophies on when it is OK to resume sexual activity.
Some doctors and clinics advise waiting 2 weeks before inserting anything in your vagina, including tampons. Other doctors say you can have sex as soon as you feel ready and use tampons to control post-abortion bleeding if that is your preference. Be sure to discuss these particulars with your doctor.
You can get pregnant right after your abortion, so start using some form of birth control right away. Many doctors are willing to place an IUD in your uterus during your procedure, so you may want to take advantage of the opportunity.
Surgical abortions are very safe procedures. Complications are rare. However, all surgeries involve some level of risk.
Possible complications from surgical abortions include:
- cervical tears or lacerations
- uterine perforation
- retained pregnancy tissue
- allergic or adverse reactions to medications
When to call your doctor
Complications from abortion are rare, but call your doctor or seek immediate medical attention if you experience any of the following symptoms:
- passing blood clots that are larger than a lemon for more than 2 hours
- bleeding that is heavy enough that you have to change your pad once an hour for 2 or more hours straight
- foul-smelling vaginal discharge
- pain or cramping that gets worse instead of better, especially after 48 hours
- pregnancy symptoms that persist after 1 week
Surgical abortion is a safe and effective way to end a pregnancy. People choose surgical abortion for a number of reasons, including their preferences and the length of time it’s been since their last period.
Surgical abortions typically involve a suction technique that removes pregnancy tissue from the uterus.
You will be given a sedative before your procedure to reduce any pain, but you may experience cramping during the procedure. Cramping can last a few days, but most people are able to resume their usual activities within a day or two.