To the Editor We read with interest the study by Rangel et al1 on pregnancy and fertility complications in US female surgeons and commend the authors on this important work. We note that 18 surgical specialties and subspecialties were included in this study and that obstetrics and gynecology and its subspecialties were not included.
Obstetrics and gynecology is recognized as one of the surgical specialties by the American College of Surgeons.2 Cesarean deliveries are the most common major surgical procedure performed in the US, with more than 1 million procedures per year.3 However, this accounts for only a portion of the wide range of procedures performed in the field of obstetrics and gynecology, which encompasses urogynecology for pelvic floor reconstruction, gynecologic oncology for cancers of the female reproductive tract, and minimally invasive gynecologic surgery for the treatment of endometriosis and fibroids.