The American College of Obstetricians and Gynecologists The American Congress of Obstetricians and Gynecologists 409 12th Street, SW, PO Box 96920 • Washington, DC 20090-6920 • Telephone 202-638-5577 DEFINITION OF “PROCEDURES” RELATED TO OBSTETRICS AND GYNECOLOGY Position Statement The American College of Obstetricians and Gynecologists and The American Congress of Obstetricians and Gynecologists Rationale: Distinguishing interventions considered as “procedures” from those considered as “surgery” is important on multiple levels. In an era of team-based care, it is important to designate those interventions which can be safely performed by an appropriately trained and credentialed non-physician provider. These interventions are generally associated with lower risk of complications, including infection, bleeding, scarring, and pain. The classification of an intervention as a “procedure” should be based on the intervention being performed, and not based on the location at which the procedure is performed or the level of anesthesia or sedation being utilized. Definition: A procedure is a short interventional technique that includes the following general categories:  non-incisional diagnostic or therapeutic intervention through a natural body cavity or orifice  superficial incisional or excisional diagnostic or therapeutic intervention that does not involve repair or significantly alter morphology  device placement into a natural cavity  subcutaneous implant  injections. All other invasive interventions (including superficial incisional or excisional procedures and placement of devices or implants that require repair) are considered “surgery”. Approved by the Executive Board: November 2015

American Congress of Obstetricians and Gynecologists
409 12th Street SW, Washington, DC  20024-2188 | Mailing Address: PO Box 70620, Washington, DC 20024-9998