Surgical Abortion Procedure
At Reproductive Choices SA in Centurion, Gauteng, surgical abortions are safely performed between 8 and 19 weeks of pregnancy by experienced doctors in a registered medical clinic. All procedures include a consultation, ultrasound assessment, counselling, medication, the procedure itself, and a follow-up check-up with another scan after 3 weeks to ensure proper recovery.
Our clinic follows a patient-centred approach focused on safety, privacy, emotional support, and future reproductive health. All surgical procedures are performed by doctors using modern vacuum aspiration techniques, which are considered a safe and low-risk method of termination of pregnancy and do not physically affect future fertility when performed correctly in a medical setting.
What Happens During a Surgical Abortion?
Before the procedure, patients undergo:
- A medical consultation
- Ultrasound (sonar) assessment
- Counselling session
- Medical history evaluation
- Preparation medication if required
The surgical abortion procedure itself usually takes approximately 15 minutes, although patients should expect to spend about 2–3 hours at the clinic to allow time for preparation, medication, recovery, and aftercare observation.
The procedure is performed under local anaesthetic with sedation support and is often described as causing cramping or discomfort similar to strong period pain. General anaesthesia is not used.
Procedures are performed by Dr Manyane (PR Number 0184047), a reproductive health specialist affiliated with a major local hospital and experienced in theatre-based reproductive procedures.
Safe Vacuum Aspiration Method
Reproductive Choices SA uses modern vacuum aspiration techniques that have been widely used internationally for many years. This method is considered one of the safest surgical abortion procedures available when performed by trained medical professionals in a licensed clinic environment.
Recovery and Aftercare
Patients are allowed time to rest comfortably before leaving the clinic. Coffee or tea is provided after the procedure, and detailed aftercare guidance is given before discharge.
A follow-up appointment with another ultrasound scan is scheduled approximately 3 weeks later to ensure that recovery is progressing normally.
Post-abortion counselling and emotional support services are available to both patients and their partners or family members should further support be needed.
Preparing for Your Appointment
To help ensure a smooth and comfortable experience, patients are advised to:
- Eat breakfast or a light meal before the appointment
- Drink approximately 3 glasses of water before arriving
- Wear comfortable loose-fitting clothing
- Wear a full panty and socks
- Bring a sweater or warm top
- Arrange to spend approximately 2–3 hours at the clinic
Sanitary pads are provided by the clinic.
Please note: No children are allowed in the clinic
Patients may drive themselves to and from the clinic
Sick notes can be provided if required for work purposes
Surgical Abortion Costs and Payment Information
The cost for a surgical procedure includes:
- Ultrasound scans
- Counselling
- All medication
- Procedure room fees
- Doctor’s fees
- Follow-up consultation and scan after 3 weeks
Reproductive Choices SA is a private cash practice and does not process medical aid claims directly. Patients may submit the detailed account to their medical aid independently if applicable.
Accepted payment methods include:
- Cash
- Credit cards
- Debit cards
- PayJustNow payment plans
Deposit Policy
A R1500 deposit is required to secure an appointment booking. The deposit is deducted from the total procedure cost on the appointment day.
Appointments are confirmed only once proof of payment has been received.
Important booking terms:
- Payments are non-refundable
- Cancellations require at least 24 hours notice
- No-shows or late cancellations may result in forfeiture of payments made
- Appointments may be rescheduled once within 2 weeks of the original booking date
Frequently Asked Questions About Surgical Abortion
Is surgical abortion safe?
When performed by trained doctors in a registered medical clinic, surgical abortion is considered a very safe medical procedure. At Reproductive Choices SA, all patients receive a consultation, ultrasound assessment, counselling, and follow-up care to support patient safety and recovery.
How painful is a surgical abortion?
Most patients describe the procedure as causing cramping or discomfort similar to strong period pain. Local anaesthetic and sedation medication are used during the procedure to improve comfort levels.
How long does the procedure take?
The surgical procedure itself usually takes approximately 15 minutes. Patients should expect to spend around 2–3 hours at the clinic for preparation, medication, recovery, and observation.
Can I drive myself home after the procedure?
Yes. Most patients are able to drive themselves to and from the clinic after the procedure unless otherwise advised by the doctor.
Will I receive counselling before the procedure?
Yes. Counselling forms an important part of the treatment process at Reproductive Choices SA. Counselling is confidential, supportive, non-directive, and based on each patient’s individual needs.
Is an ultrasound scan included?
Yes. All abortion procedures include an ultrasound assessment before treatment as well as a follow-up scan approximately 3 weeks later.
Does surgical abortion affect future fertility?
Modern vacuum aspiration procedures performed by trained doctors in a registered medical clinic do not physically affect future fertility in the vast majority of cases.
What should I wear to my appointment?
Patients are advised to wear comfortable loose-fitting clothing, socks, and a full panty. A sweater or warm top is also recommended.
Can I bring someone with me?
Yes. Patients may bring a partner, friend, or family member for support if they wish. However, no children are allowed in the clinic.
What happens after the procedure?
Patients rest comfortably at the clinic before discharge and receive detailed aftercare instructions. A follow-up appointment with another ultrasound scan is scheduled after approximately 3 weeks.
Is the procedure confidential?
Yes. All patient information, consultations, counselling sessions, and medical records are kept strictly confidential.
What is included in the surgical abortion package?
The package includes:
- Consultation
- Ultrasound scans
- Counselling
- Medication
- Surgical procedure
- Doctor’s fees
- Follow-up check-up and scan
Is abortion legal in South Africa?
Yes. Termination of pregnancy (TOP) has been legal in South Africa since 1997 when performed by trained medical professionals at approved clinics or hospitals.