Source-linked data only: US CDC ART Surveillance (2022 reporting year) and policies quoted from official clinic pages, checked Nov 2026.
FertilityFAQ.org
Anesthesia workstation in a hospital room
Photo: Anna Shvets / Pexels

Hospital Operating Room vs Outpatient Surgery Center for Egg Retrieval

Where a clinic performs egg retrieval affects its BMI policy. 2 of the programs we verified state that retrievals are hospital-based and 5 state that they use an outpatient surgery center or office suite. The professional guidance on anesthesia outside the operating room is quoted below from the societies that publish it.

What the anesthesia societies say

American Society of Anesthesiologists (ASA): Statement on Nonoperating Room Anesthetizing Locations: emergency equipment in each location
“Each NORA location must have an emergency cart with a defibrillator, emergency drugs, and other equipment adequate to provide basic and advanced cardiopulmonary resuscitation.”
American Society of Anesthesiologists (ASA): Statement on Nonoperating Room Anesthetizing Locations: difficult airway equipment
“Every NORA location must have access to difficult airway management equipment and, when indicated, malignant hyperthermia management protocol and supplies.”
American Society of Anesthesiologists (ASA): Statement on Nonoperating Room Anesthetizing Locations: post-anesthesia care
“When feasible, each NORA location should have a dedicated onsite or nearby Post Anesthesia Care Unit (PACU).”
American Society of Anesthesiologists (ASA): Statement on Office-Based Anesthesia: patient and procedure selection
“Patients who by reason of pre-existing medical or other conditions may be at undue risk for complications should be referred to an appropriate facility for performance of the procedure and the administration of anesthesia.”
American Society of Anesthesiologists (ASA): Statement on Office-Based Anesthesia: procedure must fit the facility's capabilities
“The anesthesiologist should be satisfied that the procedure to be undertaken is within the scope of practice of the health care practitioners and the capabilities of the facility.”

What verified programs state about their own setting

ProgramStated settingPublished BMI policyExact wording and source
Yale Fertility CenterHospital-BasedNot found online
“A final hormone injection triggers egg release approximately 36 hours before a scheduled egg retrieval procedure at the hospital.”
Brigham and Women's Center for Infertility and Reproductive SurgeryHospital-BasedBMI limit 60 (published)
“In fact, as part of a tertiary care hospital staffed by highly trained anesthesiologists, the Center performs oocyte retrievals and embryo transfers for patients with BMIs up to 60.”
KindbodyOutpatient ASCNo published number; assessed case by case (published)
“For some procedures, such as egg retrievals, we offer personalized care at our state-of-the-art Surgery Centers.”
Source: kindbody.com/fertility-surgery/ · checked Nov 2026
UCSF Center for Reproductive HealthOutpatient ASCNot found online
“The egg retrieval is a minimally invasive procedure done at CRH clinic. The procedure is done using IV sedation administered by anesthesiologist, so you are asleep but breathing on your own.”
NYU Langone Fertility CenterOutpatient ASCBMI limit 50 (published)
“When you arrive at 159 53rd Street, Floor 3, you will check in at the front desk then you will be directed to the Procedure sub-waiting room.”
Duke Fertility CenterOutpatient ASCBMI limit 44 (published)
“When your eggs are ready to be extracted, we’ll perform a minimally invasive procedure that takes about 15 minutes in our clinic.”
Effortless IVFOutpatient ASCBMI limit 35 (published)
“egg retrieval with board certified anesthesiologist in certified Ambulatory Surgical Center setting, embryo culture, transfer and cryopreservation of extra embryos.”
Source: effortlessivf.com/content/costs · checked Nov 2026

A hospital setting does not by itself mean a clinic accepts any BMI. Ask each clinic; see the questions checklist.

Know a clinic’s published policy?

Send the official page or a dated clinic letter and we will add it with its source. [email protected] · how submissions work