Table 2.

Prioritization of gynecological cancer surgery ⁷

Level	Type	Best timing	Examples
1a	Emergency	≤24 h	Anastomotic leak, bowel perforation, peritonitis, burst abdomen, torsion or rupture of suspected malignant pelvic masses, heavy bleeding from molar pregnancy requiring initial or hysterectomy
1b	Urgent	≤72 h	Acute mechanical intestinal obstruction, impending bowel perforation, life‐threatening bleeding from cervical or uterine cancer where benefit outweigh urgent radiotherapy
2	Elective – early	≤4 week	Suspected germ cell tumors, early‐stage cervical cancer, high grade/high risk uterine cancer, suspected early‐stage ovarian cancer, delayed debulking surgery (timed to chemotherapy schedules) for advanced epithelial ovarian cancer where intensive care unit /high dependency unit capacity permits, resection of primary vulval tumor
3	Elective – delayed	≤10–12 week	Early‐stage /low‐grade uterine cancer, microinvasive cervical cancer completely excised at loop excision