vNOTES is a relatively novel procedure that many patients are entirely unfamiliar with. The concept of accessing the pelvis vaginally rather than through an abdominal incision requires careful explanation to achieve genuine informed consent.
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vNOTES is sufficiently novel that many patients have never encountered the concept before their consultation. Without prior awareness, even a detailed verbal explanation of vaginal pelvic access can be difficult to conceptualise.
Understanding that abdominal surgery can be performed through a vaginal access point requires spatial anatomical comprehension that text and diagrams struggle to convey.
The intimate nature of vNOTES, combined with unfamiliarity, generates significant anxiety. Patients who do not understand how a procedure works are more likely to experience heightened anxiety and less likely to achieve genuine informed consent.
As a procedure with unique risks distinct from conventional laparoscopic or open approaches, vNOTES requires clear communication of material risks under Montgomery standards.
Surgassists delivers a clinician authored immersive walkthrough of the vNOTES approach, giving patients a genuine visual and spatial understanding of vaginal pelvic access and what to expect.
AR projects life size anatomical structures into the consultation room via tablet or AR glasses, allowing the clinician and patient to explore anatomy together. No headset required.
Using a standalone VR headset, patients are transported into a calm, 3D clinical environment with life size anatomical structures and narrated guidance through every stage of the procedure.
A guided journey through four immersive scenes preparing patients for every stage of the procedure.

Life size 3D pelvic anatomy contextualises the surgical target.

Patients follow the vaginal access pathway step by step.

Narrated guide through the surgical procedure.

Post operative expectations and potential complications presented clearly.
Spanish, Italian, Polish, Punjabi, English, Romanian, and Arabic.
Designed to fit within a standard outpatient appointment or viewed at home.
Developed in collaboration with NHS Hospitals and peer reviewed research.
Anatomically accurate, immersive structures that improve spatial comprehension.
Supports the legal standard for informed consent set out in Montgomery v Lanarkshire.
Better informed patients make better decisions and have improved procedural tolerance.
Request a demonstration of our vNOTES consent module developed in collaboration with consultant gynaecologists.
Request Clinical Demo