Major Gynaecological Surgery at Oshun · Kingston, Jamaica
Major surgery. Done right.
Major Gynaecological Surgery at Oshun is performed by Dr. Charles Rockhead — surgical procedures including open abdominal hysterectomy, complex fibroid removal, prolapse repair, and other indications. Each surgical plan is individualised at consultation with full imaging and workup.
No obligation · Every consultation is in-person with Dr. Rockhead.
Major Gynaecological Surgery at a glance
Dr. Rockhead
Performs your procedure personally
In person
Consultation before anything is booked
In writing
Your quote, given at consultation
Kingston
Clinic or accredited surgical centre
No obligation
You decide after the consultation
WhatsApp
Questions answered privately
Every visit, without exception
Four things that are true of every visit
Care by an OB/GYN
Every procedure at Oshun is reviewed and led by a board-certified Obstetrician and Gynaecologist. Dr. Rockhead is a physician first — the same one who treats women's health on the other side of his practice.
30 years caring for women
Three decades as a practicing OB/GYN at Amadeo Medical Group, the parent clinical practice. Every Major Gynaecological Surgery plan is reviewed by a physician who has cared for women through pregnancy, surgery, perimenopause, and post-natal recovery.
Written plan first
Every Major Gynaecological Surgery patient leaves consultation with a written plan: areas, technique, timing, recovery, cost. Returning patients refine the same plan rather than starting from scratch every visit.
Conservative, considered
Oshun's approach favours conservative, considered care over aggressive intervention. Decisions are made in conversation with you, options are presented in plain language, and consent is informed at every step.
Treatment Details
Every fact about your first visit, in plain language.
Most first-time patients arrive with the same set of unspoken questions. They are answered below in the order most people think them — from "how much will I need" to "what if I'm pregnant."
Last clinically reviewed: · Medical reviewer: Dr. Charles Rockhead, Medical Director, Oshun Cosmetic Services
01Major Gynaecological Surgery 101
The procedure itself.
Major gynaecological surgery refers to procedures requiring open abdominal incision (laparotomy) or extensive operative time and recovery. It includes cases that minimally-invasive approaches cannot safely handle.
How long it's been around
Open abdominal gynaecological surgery has been the historical standard. Minimally-invasive has replaced it for most indications, leaving "major surgery" to denote cases that genuinely require open.
What we treat with it
Very large fibroid uteri exceeding MIGS capacity, certain gynaecological cancers requiring extensive resection, complex prolapse repair, severe endometriosis with bowel or urinary involvement, dense adhesions from prior surgery or radiation.
The honest version
Why major gynaecological surgery sometimes disappoints.
Major surgery disappoints when patients weren't told what to expect from the recovery curve, when post-operative complications surface, or when the indication didn't warrant the size of operation.
Major open surgery is a different recovery than minimally-invasive — longer hospitalisation, more post-operative pain, slower return to function. Patients prepared for that reality cope much better than patients who expected a "quick recovery."
The other consideration is whether major surgery was truly the right size of intervention. Some cases get "upsized" because the surgeon's default is open. The consultation should genuinely test whether minimally-invasive could work.
At Oshun, we don't run that model. Major Gynaecological Surgery here is physician-led from consultation through follow-up, with a written plan in your hands and a follow-up visit on the calendar before you leave.
02Medical Leadership
The same physician, from first question to final follow-up.
Every major gynaecological surgery at Oshun is planned and performed by Dr. Rockhead personally, with multidisciplinary input where indicated (oncologic, urologic, colorectal).
Dr. Charles Rockhead, Medical Director — Oshun Cosmetic Services, Kingston.
Dr. Charles Rockhead
Medical Director · Board-Certified OB/GYN · 30+ years of practice
Dr. Charles Rockhead is a board-certified Obstetrician and Gynaecologist with more than thirty years of practice in Kingston. He is the Medical Director of Oshun Cosmetic Services and the founding physician of Amadeo Medical Group, the parent clinical practice.
A Major Gynaecological Surgery visit at Oshun follows a clear sequence — from consultation through the procedure itself through follow-up. Here is what happens, step by step.
i.
Consultation
Before any Major Gynaecological Surgery is scheduled, you meet Dr. Rockhead in person at 9 Devon Road. He reviews your medical history, examines you as appropriate, and explains the options — including the option not to proceed. You leave with a clear written plan and a quote.
ii.
Preparation
Stop blood thinners 7–10 days before; stop smoking 4+ weeks before; pre-op labs, imaging, ECG, medical clearance. Multidisciplinary planning for oncologic cases.
iii.
The major surgery procedure
Under general anaesthesia at a hospital, Dr. Rockhead performs the planned procedure through an abdominal incision (low transverse or vertical midline). The specific operative steps depend on the indication. The incision is closed in layers; an epidural may remain in place for post-operative analgesia.
iv.
Recovery & follow-up
In-hospital pain management (often including epidural), early mobilisation, DVT prophylaxis, bowel function monitoring. Wound care for abdominal incision; staples or sutures removed around 1–2 weeks. Wound check at 1–2 weeks; further follow-up tied to specific indication.
How much you'll need
Single major surgery. Oncologic cases may involve staged interventions or adjuvant therapy.
Will it hurt?
General anaesthesia, sometimes with epidural for post-operative analgesia.
How long the visit takes
2–5 hours for surgery; hospital stay 2–5 nights.
Time off after
Plan for 4–8 weeks off work. Heavy lifting and intercourse restricted for 6–8 weeks.
04Results & aftercare
Recovery and follow-up.
Recovery is staged: in-hospital first, then home recovery over 4–8 weeks.
The days before your visit
Stop blood thinners 7–10 days before; stop smoking 4+ weeks before; pre-op labs, imaging, ECG, medical clearance. Multidisciplinary planning for oncologic cases.
Right after your visit
In-hospital pain management (often including epidural), early mobilisation, DVT prophylaxis, bowel function monitoring. Wound care for abdominal incision; staples or sutures removed around 1–2 weeks.
Two-week follow-up
Wound check at 1–2 weeks; further follow-up tied to specific indication.
05Is Major Gynaecological Surgery right for you
Who gets the most out of Major Gynaecological Surgery at Oshun.
Who should not have GYN Major Surgery
Severe cardiopulmonary disease that doesn't tolerate major surgery, end-stage organ dysfunction, situations where non-surgical management is more appropriate.
Major Gynaecological Surgery isn't a one-size category — the right approach depends on your specific situation. Below are common patient profiles we see. If one sounds like you, an in-person consultation at 9 Devon Road is the next step.
Very large fibroids
Fibroid uterus too large for MIGS
Uteri exceeding the safe size for laparoscopic morcellation may need open myomectomy or hysterectomy.
Gynaecological cancer
Surgical management of cancer
Many gynaecological cancers require extensive surgery including staging and lymph-node dissection.
Severe endometriosis
Endometriosis with bowel or urinary involvement
Severe endometriosis affecting bowel or urinary tract may require combined surgery.
Complex prolapse
Multi-compartment prolapse repair
Complex prolapse cases sometimes require abdominal sacrocolpopexy with paravaginal repair.
06Logistics, cost & safety
Booking and pricing.
Consultation policy
Every Major Gynaecological Surgery patient meets Dr. Rockhead in person at the 9 Devon Road clinic before any procedure is scheduled. (Virtual consultations are not currently offered.)
Where treatments happen
Major gynaecological surgery is performed at a hospital with full inpatient capability.
What it costs
Priced based on procedure complexity, hospital stay, anaesthesia, and follow-up.
How to pay
Cash, debit, credit card, or approved financing.
Insurance
Typically covered for documented indications.
If this sounds right
The next step is a conversation, not a commitment.
Every Major Gynaecological Surgery patient at Oshun starts with a consultation. Twenty minutes, in-person at 9 Devon Road, with Dr. Rockhead. No procedure is scheduled, no quote is signed, no pressure either way. You leave with a plan and a price — or you leave with neither.
No obligation · Every consultation is in-person with Dr. Rockhead.
The honest answers
Nine questions every nervous first-timer asks.
Open any of them. We've written each answer the way Dr. Rockhead would actually say it — not the way a brochure would.
Why is this called "major" surgery?
Open abdominal surgery with extended hospital stay and longer recovery is conventionally called major.
How long is the hospital stay?
2–5 nights typically.
How long is recovery?
4–8 weeks off work. Heavy lifting and intercourse restricted for 6–8 weeks.
Is open surgery still common?
Less common than it used to be. Open is now reserved for cases that genuinely warrant it.
Will I have a large scar?
Yes — an abdominal incision is part of open surgery. Low transverse incisions are usually preferred for cosmetic reasons.
Are there more risks than minimally-invasive?
Major open has somewhat higher risk of wound infection, blood clots, and hernia at the incision. The trade-off is access.
Will I need a blood transfusion?
Blood loss in major gynaecological surgery is sometimes significant. Pre-operative iron optimisation and intra-operative blood conservation minimise transfusion need.
Is major gynaecological surgery covered by insurance?
Yes — covered for documented indications, including hospital stay.
How do I book a major surgery consultation at Oshun?
Every testimonial below this line will be a real Oshun patient who wrote it themselves, signed a consent form, and gave permission to use their name. Oshun does not buy reviews, ghostwrite reviews, or publish anonymous five-star strings. Real or nothing.
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Already an Oshun GYN Major Surgery patient?
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