Support a Member-Driven Initiative to Update Laparoscopy Descriptors for Fertility Preservation

WHY: To Ensure Equitable, Medically Appropriate Care for Patients Who Cannot Freeze Eggs

Ovarian tissue harvesting and transplantation are essential Fertility Preservation options for patients who cannot undergo oocyte cryopreservation. This includes:

  • Children and adolescents, for whom egg freezing is not possible
  • Patients requiring urgent chemotherapy, where treatment cannot be delayed
  • Individuals whose medical circumstances make egg freezing unsafe or unfeasible

Despite being medically indicated, these procedures are not explicitly included in current gynecologic laparoscopy surgery descriptors. This omission creates barriers to transparent, fair, and medically appropriate billing, and it leaves vulnerable oncology patients without the support they deserve.

Updating the descriptors ensures that Ontario's billing framework reflects modern reproductive medicine, supports equitable access, and aligns with the realities of Fertility Preservation care.

WHAT: A Member-Driven OMA Submission to Modernize Surgical Descriptors

We are preparing a member driven submission within the OMA's Reproductive Biology Section to update the gynecologic laparoscopy descriptors to explicitly include:

  • Ovarian tissue harvesting
  • Ovarian tissue transplantation

for the purpose of Fertility Preservation under a recognized medical indication.

This update will:

  • Provide clarity for clinicians performing these procedures
  • Support ethical, patient-centred care
  • Ensure billing practices accurately reflect the medical purpose of the surgery
  • Reduce administrative ambiguity for providers and institutions

To advance this submission, we require support from the Reproductive Biology Section OMA members.

HOW: Add Your Name to Strengthen This Submission

If you are willing to support this initiative, please provide your information below.

Your endorsement directly contributes to a more equitable, transparent, and clinically aligned system for Fertility Preservation in Ontario. Together, we can ensure that our most vulnerable patients receive the care and recognition they deserve.

Support This Initiative

Alternative submission: You may also send your information directly to:

Dr. Jennia Michaeli
Email: Jennia.Michaeli@sinaihealth.ca