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The perinatal surgery fellowship is a two-year training program, approved by the ²ÝÁñÉçÇøÈë¿Ú graduate medical education (GME) and the Texas Medical Board. At the completion of their fellowship, the perinatal surgeon will have received training in some or all of the following areas:

• Evaluation of complex fetal anomalies by ultrasound and MRI. 
• Laser ablation of placental anastomoses in the treatment of twin-twin transfusion syndrome, selective intrauterine growth restriction, vasa previa and placental chorioangioma.
• Laparoscopic approach to the uterus for the purpose of fetoscopic surgery and maternal-fetal surgery.
• Ultrasound-guided shunt placement in the fetal thorax or bladder.
• Intrauterine fetal blood transfusion for fetal anemia.
• Ultrasound guided amnioreduction, vesicocentesis and thoracocentesis.
• Radiofrequency ablation and bipolar cord coagulation for treatment in complex monochorionic multiple gestations.
• Ex Utero Intrapartum Treatment procedure (EXIT) to perform various interventions to stabilize the fetus during transition to neonatal life.
• Hysterotomy for providing access to a fetus for open fetal surgery in an ongoing pregnancy.
• Preoperative and postoperative management of patients undergoing fetal surgical procedures.
• Fetal Endotracheal Occlusion (FETO) procedure for congenital diaphragmatic hernia management.
• Minimally invasive fetal interventions in the management of congenital diaphragmatic hernia and neural tube defects.
• Open and minimally invasive treatment of neural tube defects.
• Fetal interventions in for conditions approved by the institutional review board and FDA oversight. 
• Neonatal management of gastroschisis, omphalocele, esophageal atresia, CDH, NTD, lung masses, sacrococcygeal teratoma and neck masses. 
• Maternal-fetal anesthesia ethical considerations in the management of the fetus as a patient. 

List of Electives 

• Pediatric/fetal echo
• Pediatric surgery 
• Fetal MRI
• Neonatal intensive care unit (NICU)
• Pediatric neurosurgery 

Rotation Schedules

• Clinical – 12 months
• Research – 9 months
• Electives – 3 months