Sonia Koshy, DO

POSTDOCTORAL TRAINING
Minimally Invasive Gynecology Fellowship,
Center for Gynecologic Oncology, Miramar, Fl
Society of Laparoscopic and Robotic Surgeons
Memorial Regional Hospital, Memorial Miramar Hospital, Memorial West Hospital, Palmetto
General Hospital, HCA University Hospital, HCA Westside Hospital

Obstetrics and Gynecology Residency,
Chief Resident
University of Toledo, Toledo, OH
Promedica Toledo Hospital, University of Toledo Medical Center

Obstetrics and Gynecology Residency,
Community Health of South Florida, Miami, FL
Palmetto General Hospital, North Shore Medical Center, Jackson South Medical Center

Traditional Rotating Internship,
Garden City Hospital, Garden City, MI

EDUCATION
Doctor of Osteopathic Medicine, July 2013 to May 2017
Alabama College of Osteopathic Medicine, Dothan, AL
Masters of Science, Biological Sciences; January 2010 to July 2011
University of Houston – Clear Lake, Houston, TX
Bachelors of Science, Biology; Minor: Religious Studies, August 2005 to December 2009
University of Houston, Houston, TX
EMPLOYMENT
Minimally Invasive Gynecologic Surgeon
Virtuosa GYN and Methodist Northeast Hospital

OB Hospitalist, Obstetrics and Gynecology
Palmetto General Hospital

My approach for caring for endometriosis patients starts with listening to them and getting down
to the root cause of their symptoms. From there, I use a pain mapping exam and imaging to
help guide a plan for surgery, if appropriate, and involve other specialties if they have areas of
endometriosis involving other major organ systems. Then, we come up with a plan together
based on their future fertility desires and a comprehensive pre-operative, surgical and
post-operative plan for treatment and managing their care.
My background includes a Master’s degree in Anatomy, which shaped how I think about pelvic pain, disease spread, and surgical planes. That foundation allows me to approach endometriosis excision with precision and respect for surrounding nerves, vessels, and pelvic structures. When surgery is indicated, I focus on complete excision of disease while minimizing tissue trauma, using advanced minimally invasive and robotic techniques.

Equally important, I believe surgery is only one part of care. Optimal outcomes require a thoughtful, multidisciplinary plan that supports patients before and after surgery so they can heal fully and regain function.

Because of this, it’s crucial to take the time to walk through what each treatment modality will be expected to target, and how I can most effectively use advanced minimally invasive surgery as a tool, alongside other therapeutic interventions, to further them on their path to recovery.

I also received focused training in reproductive surgery and fertility optimization to allow for a tailored approach in determining how best to treat endometriosis within a patient’s goals of care. What may be best for eradication of pain (complete excision/extirpative surgery), may not be best for fertility preservation. So again, the importance lies within understanding my patient’s experience and how we can work as a team to formulate the best care plan. I offer full spectrum excisional procedures with multidisciplinary involvement when indicated.

As a MIGS surgeon, I have been able to see the pain and lifestyle effects that endometriosis
has had on many patients. I have seen firsthand how debilitating the disease can be, and also
how silent endometriosis can wreak havoc on the body. PRM’s mission of providing
comprehensive care for endometriosis, both surgically and with conservative measures, is an
exciting new avenue for me to be involved with. I look forward to being able to offer patients
more tools to help treat this disease.

This mission strongly aligns with my practice philosophy. Endometriosis should not be managed reactively or in isolation. By combining accurate diagnosis, advanced surgical expertise, and structured perioperative care, we can shorten the path from suffering to meaningful improvement. For patients, that time matters—physically, emotionally, and personally.

Society has unfortunately perpetuated the idea that women’s health should be dealt with quietly and alone and PRM’s mission is to instead shed spotlight on pelvic pain and give women a starting point from which to reclaim ownership of their lives.

Inflammation is a key part of endometriosis, in the formation of adhesions, infertility and the
dysfunction of multiple organ systems. This inflammation tends to cause significant downstream
effects, in regards to day-to-day function, pain, and sexuality. I am excited to incorporate the
PRM protocol for my patients, to further address these issues.

I was able to complete a 2 year surgical fellowship with a group of GYN-oncologists and MIGS
surgeons in South Florida. This gave me a lot of exposure to very difficult cases and provided
me with some unique skills to help tackle difficult endometriosis. Additionally, I have been here
in this community since 2024, helping to take care of patients, both medically and surgically.
Pelvic pain and endometriosis are topics that I feel very passionately about as I know many
women and families that have personally been affected. I have been involved in conferences,
presenting data on the use of minimally invasive techniques in the management of
endometriosis and large uterine fibroids. These are things that I will continue to do for my
patients, and more, as new data and techniques arise.

I have performed over 700 Gynecologic surgeries.

Fertility preservation begins with careful preoperative planning and clear alignment with the patient’s reproductive goals. When fertility is desired, I use tissue-sparing surgical techniques, meticulous dissection, hemostasis and advanced minimally invasive approaches to preserve ovarian reserve, uterine integrity, and tubal function whenever possible.

My background in anatomy and precision surgery is particularly important in these cases, as it allows for accurate disease removal while protecting healthy reproductive structures. I also collaborate closely with fertility specialists when appropriate to ensure continuity of care before and after surgery.

I work closely with a reproductive endocrinologist to develop an optimized approach specific to each patient, with each surgery being tailored to the goals of the patient. It is possible to surgically excise endometriosis while preserving/optimizing reproductive capacity.

Regardless of when fertility sparing is the priority, I try to preserve normal anatomy as much as
possible. For endometrioma excision, I will almost always plan on doing a cyst excision over
removal of the ovary. I will routinely incorporate a chromotubation, where I check the patency of
the fallopian tubes during surgery, after taking down scar tissue and restoring anatomy.
Specifically, for fertility, I incorporate conservative techniques to help maintain fertility, while
providing as much excision as can safely be provided. This is something that we discuss and
come up with a plan for, according to symptoms, pain mapping, imaging, and future goals.

Over my nearly 20 years in practice, I have been drawn to advanced robotic and minimally invasive techniques because they allow for superior visualization and precision—critical elements in endometriosis excision. Over the years I have attended numerous advanced courses and workshops to provide my patients the best outcomes possible. My decision to join PRM reflects a desire to move away from fragmented care and instead provide focused, comprehensive surgical treatment for endometriosis patients who often have spent years seeking answers.

Most importantly, I value listening to patients and partnering with them in their care, with the goal of restoring function, reducing pain, and improving quality of life.

Byhoff, E., Hamati, M.C., Power, R.K., Burgard, S.A., & Chopra, V. Increasing Educational Attainment and Mortality Reduction: a Systematic Review and Taxonomy. BMC Public Health. 2017, Sep; 17(719): 1-9. Cited in PubMed; PMID: 28923038. Pub Status: Published.

Harris, J.A., Moniz, M.H., Lott, B., Power, R.K., & Griggs, J.J. Obesity and the Receipt of Influenza and Pneumococcal Vaccination: a Systematic Review and Meta-analysis. BMC Obesity. 2016, May; 3(24): 1-11. Cited in PubMed; PMID: 27200179. Pub Status: Published.

Schoenfeld, A.J., Wahlquist, T.C., Bono, C.M., Lehrich, J.L., Power, R.K., & Harris, M.B. Changes in the Care of Patients with Cervical Spine Fractures Following Health Reform in Massachusetts. Injury. 2015, Aug; 46(8): 1545-1550. Cited in PubMed; PMID: 26056035. Pub Status: Published.

Schoenfeld, A.J., Weaver, M.J., Power, R.K., & Harris, M.B. Does Health Reform Change Femoral Neck Fracture Care? A Natural Experiment in the State of Massachusetts. Journal of Orthopaedic Trauma. 2015, Nov; 29(11): 494-499. Cited in PubMed; PMID: 26492453. Pub Status: Published.

BOOK CHAPTERS
Zamah, A.M., Power, R., Longman, R.E., Abramowicz, J.S. (2023). Ultrasound and Infertility. In: Abramowicz, J.S., Longman, R.E. (eds) First-Trimester Ultrasound. Springer, Cham. https://doi.org/10.1007/978-3-031-24133-8_3

VIDEO ABSTRACTS
Lomboy J, Power R, Boren T. Approach to Retroperitoneal Dissection in the Morbidly
Obese Patient [Video submitted]. SGS 2025 Global Congress on MIGS.

Robyn K. Power, MD, Cory Messingschlager MD, Jacqueline Lomboy, DO, Robert Furr, MD, FACOG. Single Site Robotic Tubal Reanastomosis. AAGL SurgeryU. https://surgeryu.aagl.org/view?m=jwqffQKc6. Published on March 19, 2024

Robyn K. Power, MD, Cory Messingschlager MD. Pelvic Sidewall Excision of Endometriosis. AAGL SurgeryU. https://surgeryu.aagl.org/view?m=dLHYM2jgu. Published on Sep 29, 2023

Cory Messingschlager MD, Robyn K. Power, MD. The Presacral Neurectomy. AAGL SurgeryU. https://surgeryu.aagl.org/view?m=qHzU03g0T. Published on Sep 29, 2023

NATIONAL CONFERENCE PRESENTATIONS

PODIUM PRESENTATIONS
Robyn K. Power, M.D.; Megan Hanson B.S. M.B.A.; Amy Henderson Riley, DrPH; Laiquannah Hason B.S , M.A.; Laura Slifer, MPH; Bridget Huepfel, BA; Dana B. McQueen M.D. The Lived Experience of Recurrent Pregnancy Loss Assessed by Photo-elicitation Interview. ASRM 2022, Anaheim, CA, USA.

ABSTRACTS/POSTER PRESENTATIONS
Power, R MD., Wascher, J MD., Hughes, L MD., Boots, C MD., McQueen, D MD. Relationship between length of gonadotropin stimulation for in vitro fertilization (IVF) and embryonic aneuploidy of maternal origin. ASRM 2021. Baltimore, MA, USA.

Wascher, J. MD., Power, R MD., Hughes, L MD., Boots, C MD., McQueen, D MD. The Egg Factor: Does Maternal Age Impact the risk of Embryonic Aneuploidy of Paternal Chromosomes. ASRM 2021. Baltimore, MA, USA.