Surgery in the Pregnant PatientKIZER, NORA T. MD, MSCI; POWELL, MATTHEW A. MDClinical Obstetrics and Gynecology: December 2011 - Volume 54 - Issue 4 - p 633–641 doi: 10.1097/GRF.0b013e318236eb0d Cancer In Pregnancy Abstract Author Information The key pregnancy-related physiological maternal and fetal changes that occur and the modifications to standard surgical approaches that can impact surgical outcomes are important to recognize. Surgery during pregnancy can be safe and effective. Laparoscopy has become an acceptable alternative to the standard laparotomy and should be considered when surgeons with appropriate skills and experience are available. Care of these patients should always involve a multidisciplinary team with the goal to optimize outcomes for both the mother and the fetus. Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, Alvin J Siteman Cancer Center, Washington University School of Medicine, St Louis, Missouri The authors declare that they have nothing to disclose. Correspondence: Matthew A. Powell, MD, Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, Alvin J Siteman Cancer Center, Washington University School of Medicine, St Louis, MO. E-mail: email@example.com. © 2011 Lippincott Williams & Wilkins, Inc.