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Depending on the pathogenic variant, (e.g.,\n                    <jats:italic>BRCA1<\/jats:italic>\n                    or\n                    <jats:italic>PMS2<\/jats:italic>\n                    ) the risk of developing EOC ranges from approximately 3%\u201360%. To reduce this risk, many individuals are offered risk\u2010reducing salpingo\u2010oophorectomy (RRSO), a procedure in which fallopian tubes and ovaries are removed. Some centers have dedicated programs that provide targeted care for individuals at risk of gynecologic cancers, such as the Hereditary Gynecology Clinic in Winnipeg, Manitoba. To better understand how individuals across a spectrum of risk values for developing EOC interpret their personal risk and make decisions regarding RRSO, we conducted a convergent mixed\u2010methods study involving an online survey and virtual interview. Sixty\u2010three surveys and twenty interviews were completed. Participants viewed objective risk information as a starting point, to which \u2018experiential knowledge\u2019 and perceived control were applied and integrated into their personal subjective risk assessment. Perceived risk was intertwined with cancer worry, and individuals made decisions regarding RRSO based on factors such as perceived risk, control, family planning, hormonal impacts, and recovery. Importantly, healthcare providers exerted both direct and indirect influences on the decision\u2010making process.\n                  <\/jats:p>","DOI":"10.1002\/jgc4.70225","type":"journal-article","created":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T15:33:53Z","timestamp":1782920033000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Understanding risk perception and risk\u2010reducing decision\u2010making for surgery among individuals with a genetic predisposition to epithelial ovarian cancer"],"prefix":"10.1002","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3967-3216","authenticated-orcid":false,"given":"Rebekah","family":"Kukurudz\u2010Gorowski","sequence":"first","affiliation":[{"name":"Department of Biochemistry and Medical Genetics University of Manitoba  Winnipeg Manitoba Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sylvia","family":"Horn","sequence":"additional","affiliation":[{"name":"Department of Biochemistry and Medical Genetics University of Manitoba  Winnipeg Manitoba Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pascal","family":"Lambert","sequence":"additional","affiliation":[{"name":"Department of Epidemiology CancerCare Manitoba  Winnipeg Manitoba Canada"},{"name":"Paul Albrechtsen Research Institute CancerCare Manitoba  Winnipeg Manitoba Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kim","family":"Serfas","sequence":"additional","affiliation":[{"name":"Department of Biochemistry and Medical Genetics University of Manitoba  Winnipeg Manitoba Canada"},{"name":"Shared Health Program of Genetics and Metabolism Health Sciences Centre  Winnipeg Manitoba Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ren\u00e9e","family":"El\u2010Gabalawy","sequence":"additional","affiliation":[{"name":"Paul Albrechtsen Research Institute CancerCare Manitoba  Winnipeg Manitoba Canada"},{"name":"Department of Clinical Health Psychology University of Manitoba  Winnipeg Manitoba Canada"},{"name":"Department of Anesthesiology, Perioperative and Pain Medicine University of Manitoba  Winnipeg Manitoba Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alon David","family":"Altman","sequence":"additional","affiliation":[{"name":"Paul Albrechtsen Research Institute CancerCare Manitoba  Winnipeg Manitoba Canada"},{"name":"Department of Obstetrics, Gynecology and Reproductive Sciences University of Manitoba  Winnipeg Manitoba Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kirk James","family":"McManus","sequence":"additional","affiliation":[{"name":"Department of Biochemistry and Medical Genetics University of Manitoba  Winnipeg Manitoba Canada"},{"name":"Paul Albrechtsen Research Institute CancerCare Manitoba  Winnipeg Manitoba Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica Nicole","family":"Hartley","sequence":"additional","affiliation":[{"name":"Department of Biochemistry and Medical Genetics University of Manitoba  Winnipeg Manitoba Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark William","family":"Nachtigal","sequence":"additional","affiliation":[{"name":"Department of Biochemistry and Medical Genetics University of Manitoba  Winnipeg Manitoba Canada"},{"name":"Paul Albrechtsen Research Institute CancerCare Manitoba  Winnipeg Manitoba Canada"},{"name":"Department of Obstetrics, Gynecology and Reproductive Sciences University of Manitoba  Winnipeg Manitoba Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,1]]},"reference":[{"key":"e_1_2_11_2_1","first-page":"3100","volume-title":"Pragmatic women and body politics","author":"Abel E. 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