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Regardless of clinical indication, women now have the reproductive autonomy to make fully informed decisions regarding their future fertility. In particular, there has been an increasing interest and demand among patients and healthcare professionals for fertility\u2010sparing surgery. Gynaecologists find themselves continually adapting surgical techniques and introducing novel procedures to facilitate this rapidly emerging field and anaesthetists need to manage the consequent physiological demands intra\u2010operatively. Not only is it important to understand the surgical procedures now undertaken, but also the intra\u2010operative management in an ever evolving field. This article reviews the methods of fertility\u2010sparing surgery and also describes important anaesthetic challenges including peri\u2010operative care for women undergoing complex fertility\u2010sparing surgeries such as uterus transplantation.<\/jats:p>","DOI":"10.1111\/anae.15389","type":"journal-article","created":{"date-parts":[[2021,3,8]],"date-time":"2021-03-08T01:04:03Z","timestamp":1615165443000},"page":"46-55","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Anaesthetic considerations for fertility\u2010sparing surgery and uterine transplantation"],"prefix":"10.1111","volume":"76","author":[{"given":"L. S.","family":"Kasaven","sequence":"first","affiliation":[{"name":"Department of Cancer and Surgery Imperial College London London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B. 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