I am highly experienced Consultant Obstetrician and Gynaecologist with a specialist interest in minimal access (laparoscopic) gynaecological surgery, hysteroscopic procedures, and high-risk obstetric care. I provide expert, personalised care for women in a professional and discreet environment, combining advanced surgical expertise with a compassionate and patient-centred approach. With over two decades of experience in obstetrics and gynaecology across the United Kingdom, I am committed to delivering the highest standards of clinical care. My consultations focus on careful assessment, clear communication, and evidence-based treatment tailored to each patient’s individual needs.

I offer specialist assessment and treatment in a wide range of gynaecological and obstetric conditions, including gynaecological surgery, laparoscopic (keyhole) surgery for ovarian cysts, endometriosis, and ectopic pregnancy, total laparoscopic hysterectomy and advanced minimally invasive procedures, adhesiolysis and management of pelvic pain, open and vaginal gynaecological surgery, prolapse and adnexal surgery and hysteroscopic procedures. I also offer treatment for the diagnostic and operative hysteroscopy, treatment of fibroids and endometrial polyps, endometrial ablation for heavy menstrual bleeding, MyoSure hysteroscopic tissue removal procedures, general gynaecology, heavy or irregular menstrual bleeding, pelvic pain and endometriosis, fibroids and ovarian cysts, miscarriage and early pregnancy complications and menstrual and hormonal disorders.

To date I have performed over 1000 hysteroscopies and over 400 laparoscopies which includes laparoscopic hysterectomies.

I am actively involved in postgraduate medical education and committed to support the development of future clinicians. I serve as a Clinical and Educational Supervisor for postgraduate trainees and regularly teaches junior doctors and medical students. I am also a faculty member for MRCOG preparation courses and contributes to training programmes in laparoscopic surgery and hysteroscopy. My academic work has been published in peer-reviewed journals including the Journal of Obstetrics and Gynaecology and The Obstetrician & Gynaecologist, and I have presented my work at international conferences including the European Board and College of Obstetrics and Gynaecology (EBCOG).

Treatment information

Some of the principal treatments carried out by Mr Lester De Silva at Spire include:

Gynaecology

Endometrial ablation surgery
Female sterilisation
Hormone test
Hysterectomy surgery
Hysteroscopy procedure

Labial reduction surgery (vaginal reshaping)
Laparoscopy investigation and treatment
Ovarian cyst removal
Stress urinary incontinence (SUI) for women
Vaginal repair operation

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