<prompt> 36 year old woman is found tested positive for BRCA 1 mutation. Her mother died due to ovarian cancer. She wishes to lower risk of ovarian cancer. Her general condition is otherwise normal. Which surgery would you recommendBilateral oophorectomySubtotal hysterectomy and bilateral oophorectomyBilateral salpingo oophorectomyTotal hysterectomy and BSO.  <response>: Removing both fallopian tubes and ovaries is the best way to reduce the risk of ovarian cancer 90 and premenopausal breast cancer 50. 