Female pelvic reconstructive surgery fellowship

Graduate medical education in obstetrics and gynecology at Mayo Clinic

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The Female Pelvic Medicine and Reconstructive Surgery (FPMRS) Fellowship at Mayo Clinic's campus in Rochester, Minnesota, is a three-year subspecialty training program for obstetrics and gynecology and urology physicians who wish to specialize in urogynecology and reconstructive pelvic surgery.

The fellowship provides experience in the management of complex benign pelvic surgery, including and beyond incontinence and prolapse. It offers the opportunity to acquire the practical knowledge and medical and surgical skills needed to identify, evaluate, and treat the entire spectrum of pelvic floor disorders. The goal of the fellowship is to prepare you for subspecialty board certification and a career in academic medicine.

Program highlights include:

  • A broad spectrum of experience in pelvic surgery, with an emphasis on urogynecology and reconstructive pelvic surgery, as well as experience in radical pelvic surgery, complex abdominal surgery, and colorectal surgery
  • Fellows receive surgical training in all surgical modalities (vaginal, laparoscopic/robotic, open) for treatment of pelvic organ prolapse and urinary incontinence
  • A multispecialty approach to the evaluation and management of urinary incontinence and pelvic floor disorders that includes specialists from gastroenterology, urology, neurology, colorectal surgery, and physical medicine and rehabilitation
  • Training that emphasizes clinical evaluation, including urodynamics and cystoscopy, as well as nonsurgical treatments for a wide range of urogynecologic and pelvic floor dysfunctions
  • The opportunity to obtain a master's of biomedical science degree in female pelvic medicine and reconstructive surgery
  • An extensive conference and didactic schedule focused on urogynecology and reconstructive pelvic surgery, pelvic floor dysfunction, congenital anomalies, neuro-urology, and general gynecologic surgery
  • Five fellowship-trained urogynecologists as primary faculty
  • Two advanced-practice providers focusing on nonsurgical management of pelvic organ prolapse

hospital in Minnesota and nationally recognized on the Best Hospitals Honor Roll (U.S. News, 2023-2024)

A fellow in the Female Pelvic Medicine and Reconstructive Surgery Fellowship performing a surgery

Your training experience

As a fellow at Mayo Clinic, you'll have access to robust clinical, educational, and research resources. You'll be part of a multidisciplinary team approach to the evaluation and treatment of women with pelvic floor disorders. You'll find support both inside and outside of the campus to promote physical and mental wellness and ensure your work/life balance.

John Occhino, M.D., M.S.

Program history

The Female Pelvic Medicine and Reconstructive Surgery program at Mayo Clinic's campus in Minnesota began in 1970 as a one-year advanced pelvic surgery fellowship through 1996. In 1997, Mayo Clinic began one of the first accredited programs in urogynecology and reconstructive pelvic surgery that has now evolved into the three-year Female Pelvic Medicine and Reconstructive Surgery Fellowship, which includes one year dedicated to research and two years of clinical and surgical training. We anticipate that one trainee will complete this program annually. See where our fellows go after training.


The fellowship is accredited by the Accreditation Council for Graduate Medical Education (ACGME).

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