Skip to main content
Lotus Endometriosis Institute solid color logo

You are evaluating treatment options

Best long-term treatment for diaphragmatic endometriosis?

Deep Diseasechestabdominalsystemic

For many patients, the most durable long-term relief when endometriosis involves the diaphragm comes from complete excision of disease by a surgeon with advanced experience in upper-abdominal endometriosis. This approach is especially important when lesions are deep, symptoms are persistent or recurring, or quality of life is significantly affected.


Because diaphragmatic (and sometimes thoracic) endometriosis can be harder to see and access, success depends on careful preoperative mapping and a surgical plan tailored to your symptom pattern, imaging findings, fertility goals, and prior treatments. In some cases, the safest and most effective care involves coordination with other surgical specialists to address all areas of disease in one plan. Our team can help you understand what’s driving your chest or shoulder-area pain and whether excision is likely to provide meaningful, lasting improvement.

An illustration of 3 silhouetted women each showing discomfort in areas of the pelvis.

Exploring Your Treatment Options?

Every patient deserves a personalized treatment plan. Let our specialists help you understand all your options.

Schedule a Consultation

Reach Out

Have a question?

Dr. Steven Vasilev delivers best-in-class endometriosis guidance and a personalized treatment plan—built on evidence and your unique biology.


Led by Steven Vasilev, MD—an internationally recognized endometriosis specialist & MIGS surgeon—Lotus Endometriosis Institute is virtual-forward, with many patients traveling nationally for care. Clinical evaluation and surgical treatment are provided in California.

Santa Monica, CA

2121 Santa Monica Blvd, Santa Monica, CA 90404

Operating Hours

8:00 am - 5:00 pm
Monday - Friday

Arroyo Grande, CA

154 Traffic Way, Arroyo Grande, CA 93420