<?xml version="1.0"?>
<edgarSubmission>

    <schemaVersion>X0708</schemaVersion>

    <submissionType>D/A</submissionType>

    <testOrLive>LIVE</testOrLive>

    <primaryIssuer>
        <cik>0001214047</cik>
        <entityName>SURGERY CENTERS OF DES MOINES LTD</entityName>
        <issuerAddress>
            <street1>5901 WESTOWN PARKWAY</street1>
            <street2>#100</street2>
            <city>WEST DES MOINES</city>
            <stateOrCountry>IA</stateOrCountry>
            <stateOrCountryDescription>IOWA</stateOrCountryDescription>
            <zipCode>50266</zipCode>
        </issuerAddress>
        <issuerPhoneNumber>5152241984</issuerPhoneNumber>
        <jurisdictionOfInc>IOWA</jurisdictionOfInc>
        <issuerPreviousNameList>
            <value>None</value>
        </issuerPreviousNameList>
        <edgarPreviousNameList>
            <value>None</value>
        </edgarPreviousNameList>
        <entityType>Limited Partnership</entityType>
        <yearOfInc>
            <overFiveYears>true</overFiveYears>
        </yearOfInc>
    </primaryIssuer>

    <relatedPersonsList>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>N/A</firstName>
                <lastName>Surgery Center of Des Moines, LLC</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>569 Brookwood Village</street1>
                <street2>Suite 901</street2>
                <city>Birmingham</city>
                <stateOrCountry>AL</stateOrCountry>
                <stateOrCountryDescription>ALABAMA</stateOrCountryDescription>
                <zipCode>35209</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Promoter</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification>General Partner of Issuer</relationshipClarification>
        </relatedPersonInfo>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>Jordan</firstName>
                <lastName>Jones</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>569 Brookwood Village</street1>
                <street2>Suite 901</street2>
                <city>Birmingham</city>
                <stateOrCountry>AL</stateOrCountry>
                <stateOrCountryDescription>ALABAMA</stateOrCountryDescription>
                <zipCode>35209</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Executive Officer</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification>President of Issuer and Manager of Issuer's General Partner</relationshipClarification>
        </relatedPersonInfo>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>John</firstName>
                <lastName>Fain</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>569 Brookwood Village</street1>
                <street2>Suite 901</street2>
                <city>Birmingham</city>
                <stateOrCountry>AL</stateOrCountry>
                <stateOrCountryDescription>ALABAMA</stateOrCountryDescription>
                <zipCode>35209</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Executive Officer</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification>Vice President and Secretary of Issuer and Manager of Issuer's General Partner</relationshipClarification>
        </relatedPersonInfo>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>Brandon</firstName>
                <lastName>Frazier</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>569 Brookwood Village</street1>
                <street2>Suite 901</street2>
                <city>Birmingham</city>
                <stateOrCountry>AL</stateOrCountry>
                <stateOrCountryDescription>ALABAMA</stateOrCountryDescription>
                <zipCode>35209</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Executive Officer</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification>Vice President of Issuer and Manager of Issuer's General Partner</relationshipClarification>
        </relatedPersonInfo>
    </relatedPersonsList>

    <offeringData>
        <industryGroup>
            <industryGroupType>Other Health Care</industryGroupType>
        </industryGroup>
        <issuerSize>
            <revenueRange>Decline to Disclose</revenueRange>
        </issuerSize>
        <federalExemptionsExclusions>
            <item>06b</item>
        </federalExemptionsExclusions>
        <typeOfFiling>
            <newOrAmendment>
                <isAmendment>true</isAmendment>
                <previousAccessionNumber>0001214047-26-000001</previousAccessionNumber>
            </newOrAmendment>
            <dateOfFirstSale>
                <value>2026-02-27</value>
            </dateOfFirstSale>
        </typeOfFiling>
        <durationOfOffering>
            <moreThanOneYear>false</moreThanOneYear>
        </durationOfOffering>
        <typesOfSecuritiesOffered>
            <isEquityType>true</isEquityType>
        </typesOfSecuritiesOffered>
        <businessCombinationTransaction>
            <isBusinessCombinationTransaction>false</isBusinessCombinationTransaction>
            <clarificationOfResponse></clarificationOfResponse>
        </businessCombinationTransaction>
        <minimumInvestmentAccepted>0</minimumInvestmentAccepted>
        <salesCompensationList>
            <recipient>
                <recipientName>N/A</recipientName>
                <recipientCRDNumber>None</recipientCRDNumber>
                <associatedBDName>SCA Development, LLC</associatedBDName>
                <associatedBDCRDNumber>35451</associatedBDCRDNumber>
                <recipientAddress>
                    <street1>569 Brookwood Village</street1>
                    <street2>Suite 901</street2>
                    <city>Birmingham</city>
                    <stateOrCountry>AL</stateOrCountry>
                    <stateOrCountryDescription>ALABAMA</stateOrCountryDescription>
                    <zipCode>35209</zipCode>
                </recipientAddress>
                <statesOfSolicitationList>
                    <state>IA</state>
                    <description>IOWA</description>
                </statesOfSolicitationList>
                <foreignSolicitation>false</foreignSolicitation>
            </recipient>
        </salesCompensationList>
        <offeringSalesAmounts>
            <totalOfferingAmount>371250</totalOfferingAmount>
            <totalAmountSold>371250</totalAmountSold>
            <totalRemaining>0</totalRemaining>
            <clarificationOfResponse></clarificationOfResponse>
        </offeringSalesAmounts>
        <investors>
            <hasNonAccreditedInvestors>false</hasNonAccreditedInvestors>
            <totalNumberAlreadyInvested>6</totalNumberAlreadyInvested>
        </investors>
        <salesCommissionsFindersFees>
            <salesCommissions>
                <dollarAmount>0</dollarAmount>
            </salesCommissions>
            <findersFees>
                <dollarAmount>0</dollarAmount>
            </findersFees>
            <clarificationOfResponse></clarificationOfResponse>
        </salesCommissionsFindersFees>
        <useOfProceeds>
            <grossProceedsUsed>
                <dollarAmount>0</dollarAmount>
            </grossProceedsUsed>
            <clarificationOfResponse></clarificationOfResponse>
        </useOfProceeds>
        <signatureBlock>
            <authorizedRepresentative>false</authorizedRepresentative>
            <signature>
                <issuerName>SURGERY CENTERS OF DES MOINES LTD</issuerName>
                <signatureName>/s/ Thomas Garrott</signatureName>
                <nameOfSigner>Thomas Garrott</nameOfSigner>
                <signatureTitle>Attorney for Issuer</signatureTitle>
                <signatureDate>2026-04-14</signatureDate>
            </signature>
        </signatureBlock>
    </offeringData>
</edgarSubmission>
