The High Court of Karnataka has granted permission for a 23-year-old woman with severe developmental and intellectual disabilities to undergo a total abdominal hysterectomy. The court ruled that the procedure is intended to protect her health, dignity, and overall welfare.
Justice Suraj Govindaraj issued the order on June 17, approving a petition filed by the woman’s parents and primary caregivers. The judge noted that the court was exercising its parens patriae jurisdiction, which prioritizes the best interests of the individual.
The parents petitioned the court because their daughter’s cognitive and adaptive limitations leave her unable to manage her own menstrual hygiene or comprehend her bodily functions. The caregivers also expressed concern that as they age and their own physical health declines, they will become less capable of providing the constant assistance their daughter currently requires.
Medical Board Evaluation
Before making its decision, the court had established a multidisciplinary medical board at Vanivilas Hospital in Bengaluru on June 2 to assess the woman’s condition and evaluate the necessity of the surgery.
The medical board reported that the patient has global developmental delay, a seizure disorder, and a moderate permanent intellectual disability, with an IQ score of 36. The board unanimously recommended the total abdominal hysterectomy—a surgical procedure that removes the uterus and cervix—stating there were no medical contraindications.
Surgical Directives and Care Plan
Following the board’s recommendation, the court ordered that the surgery be performed at Vanivilas Hospital. Justice Govindaraj directed the hospital’s medical superintendent to coordinate the procedure in consultation with the parents and treating specialists, ensuring all medical, legal, and ethical standards are met.
The hospital must provide the patient with comprehensive support, including pre-operative and post-operative counseling, psychiatric care, and rehabilitation services. The medical superintendent or nominated specialists will monitor her recovery.
Additionally, the hospital is required to submit a progress report detailing the surgery and the patient’s post-operative condition to the High Court’s Registrar General within eight weeks of the procedure.
