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What are the main risks of endometriosis excision, and how are they minimized?

Topic:Surgery
Affected areas:pelvicbowelbladder

All surgery carries risk, and endometriosis excision is no exception. The main concerns include bleeding, infection, scar tissue (adhesions), and injury to nearby structures such as the bowel, bladder, or ureters—especially when disease is deep, widespread, or distorts normal anatomy.


We minimize these risks by carefully planning surgery based on your symptoms and imaging, anticipating where endometriosis is likely to be, and using meticulous technique to protect nerves and organs while controlling bleeding. When complex areas like the bowel or urinary tract may be involved, our approach is to plan ahead for the right expertise and tools in the operating room rather than making decisions mid‑procedure. We also build adhesion-reduction and recovery planning into your surgical plan so you understand what to expect before, during, and after surgery, and you can reach out to our team to discuss your individual risk profile in detail.

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