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You are evaluating treatment options

Do I need a referral to see an excision specialist?

Topic:Surgery
Affected areas:pelvicabdominal

In most cases, you do not need a referral to start the process with our excision surgery team. You can reach out directly, and we’ll guide you through next steps based on your symptoms, prior treatment, and goals.


Our first step is a purposeful, record-based telehealth consultation process. Before we schedule, we’ll ask you to submit the medical records you have (for example operative reports, pathology, and imaging reports) so we can determine whether a consult would be meaningful and what additional information—if any—we need.


If your insurance plan requires a referral for out-of-network benefits, that’s a separate administrative issue—not a barrier to speaking with us. Our team can help you understand your options and, when appropriate, support you in navigating insurance questions so you can move forward with clarity.

An illustration of a woman getting robotic excision surgery.

Exploring Your Treatment Options?

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

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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