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Can excision surgery improve endometriosis bloating and GI symptoms?

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For many patients, excision surgery can improve bloating and gastrointestinal symptoms—especially when they’re being driven by endometriosis on or near the bowel, adhesions that restrict organ movement, or deep disease that distorts pelvic anatomy. By removing endometriosis rather than just treating the surface, excision can reduce ongoing inflammation and tension that may contribute to the “endo belly” sensation and digestive discomfort.


That said, results vary depending on where disease is located and whether other issues are also playing a role (such as IBS, food sensitivities, pelvic floor dysfunction, or adenomyosis). In our practice, we focus on a careful preoperative evaluation and surgical plan tailored to your symptoms and anatomy so we can set realistic expectations and target the most likely drivers. If bloating and GI symptoms are a major part of your experience, reach out to schedule a consultation with our team to discuss whether excision may be appropriate.

An illustration of a woman getting robotic excision surgery.

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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