The Whanganui District Health Board says it still has work to do to restore the public's faith in its services since botched sterilisations by a Czech surgeon working there in 2006.
In 2008, two Crown monitors were appointed to oversee the DHB after criticism over its hiring and monitoring of Roman Hasil.
DHB's chief executive Julie Patterson told Parliament's health select committee on Wednesday that it has improved its systems and is slowly clawing its way back to gaining public confidence.
Ms Patterson said staff morale also needs to improve following Dr Hasil's employment.
MPs were told the DHB now has a full surgical team and is about to appoint a fourth obstetrician/gynaecologist from the United Kingdom.
Dr Hasil has since left New Zealand.