About Practice

The Texas Urogynecology & Laser Surgery Center in El Paso, Texas, provides world-class medical care and minimally invasive surgery to women at all stages of life. The exceptional team of providers offers advanced, comprehensive diagnostic and treatment services for pelvic floor disorders, urinary problems, and gynecologic conditions. The Texas Urogynecology & Laser Surgery Center is committed to excellence, and to providing professional, high-quality service in a friendly atmosphere.

Richard Farnam, MD, one of the nation’s first board-certified specialists in urogynecology, leads the team at Texas Urogynecology & Laser Surgery Center. This specialized field of gynecology involves the diagnosis and management of bladder problems and incontinence, as well as pelvic floor support defects and prolapse.

The state-of-the-art medical center is equipped with multichannel urodynamic diagnostic equipment, so all testing is performed on site. A range of cutting-edge treatments is available, ensuring that all patients receive the highest level of medical care.

The Texas Urogynecology & Laser Surgery Center is the region’s premier center for minimally invasive surgery. Dr. Farnam is one of the nation’s leading experts in robotic gynecologic surgery. He has performed over 2,500 robotic surgeries and trains surgeons from all over the United States on advanced procedures.

Women from all over the state of Texas, as well as from out of state, trust the caring team at the Texas Urogynecology & Laser Surgery Center to provide excellent, patient-focused urogynecologic care. Whether treatment involves behavior modification, medication, or surgery, the goal of the team is to quickly and comfortably return women to their active daily lives and help restore their quality of life.

Dr. Farnam and Texas Urogynecology and Laser Surgery Center have been recognized and awarded 41 separate distinctions since 2008 according to American Registry. The awards include:

  • Vitals.com Patient’s Choice Award 12 Consecutive Years (2008-2019)
  • Texas Superdoctor Award 4 Consecutive Years (2015-2018)
  • Compassionate Doctor Award 11 Consecutive Years (2009-2019)
  • American’s Top Doctor Award (2015-2019)
  • American’s Most Honored Surgeons (top 1% US) (2017-2019)
  • On Time Physician Award 2019
  • Healthgrade’s Honor Roll

Dr. Farnam is an AAGL designated Center of Excellence Surgeon in Minimally Invasive Gynecology, and an SRC designated Center of Excellence Robotic Surgeon. Dr. Farnam is also a designated Epicenter surgeon for Robotic Urogynecology.

New patients are always welcome at the Texas Urogynecology & Laser Surgery Center. If you have questions, or you would like to schedule a consultation, contact the office or use the online scheduling tool to book an appointment.

Photo of Robert Asgharian, MD

Robert Asgharian, MD

Board Certified in both Obstetrics & Gynecology and Urogynecology

Dr. Asgharian is board certified in both Obstetrics & Gynecology and Urogynecology (Female Pelvic Medicine and Reconstructive Surgery). He has advanced training and experience in urogynecology and minimally invasive surgery and has been practicing in El Paso since 2002.

In 2013, the American Board of Obstetrics and Gynecology offered a vigorous testing and credentialing process to evaluate the experience, training, expertise of select gynecologists with experience in and training in urogynecology and provide them recognition and certification of this expertise. As such, Dr. Asgharian became one of the first surgeons in the country with this official board certification of Female Pelvic Medicine and Reconstructive Surgery.

Much of his practice in these years has been concentrated on treating women with pelvic disorders, incontinence, overactive bladder, minimally invasive surgery which includes both robotic and laparoscopic surgery. Indeed, he developed a national reputation in Robotic Surgery and has trained physicians at a national level in Robotic Surgery. During his years of practice, he has performed thousands of incontinence surgeries, robotic surgeries, laparoscopic and minimally invasive surgeries, and surgeries for pelvic prolapse. Additionally, he has taken care of more rare and advanced urogynecological conditions such as fistulas, fecal incontinence, diverticuli, and mesh complications. He has trained both gynecologists and urologists locally and on a national level in advanced gynecological surgery, surgical treatment of incontinence and pelvic prolapse. In addition, he has served as surgical industry consultant and advanced trainer/preceptor for companies of medical devices.


  • Compassionate Doctor Recognition from the American Registry
  • Vitals.com Patient Choice Award (5 years)
  • Best 10 Doctors Award for El Paso
  • Consumers Research Council Best OB/GYN doctor
  • Healthgrades.com Honor Roll recognized doctor
  • Threebestrated.com Top 3 Gynecologists in El Paso
  • Ratemds.com Top 2 Gynecologists in El Paso