Endometriosis Care — Arroyo Grande, CA
Serving the California central coast with virtual-first access and advanced minimally invasive endometriosis and adenomyosis care.
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Central Coast Endometriosis Surgical Care
Endometriosis & Adenomyosis Surgical Care — with Virtual-First Access
The Arroyo Grande office serves as the Central Coast California clinical hub for evaluation, complex case review, treatment planning, and ongoing integrative support for women with endometriosis and chronic pelvic pain. Many visits can be completed virtually, with in-person appointments available when needed.
For Patients Near & Far
What to Expect as a New Patient
Our intake process typically begins with a virtual consultation, then involves travel only when an in-person visit or a surgical date has been scheduled. For more in-depth information on our intake process, please explore our new patients guide.
Contact Us - Share Medical Records
Start by contacting us. Provide any medical history / records you can so that we can hit the ground running when we speak with you. We typically get back to you within 24 hours or less.
Telehealth Consultation
We listen deeply to your story, discuss your existing records, and decide on next steps. Our evaluation process is exceptionally thorough, ensuring you get the care that you need.
Scheduling
We decide with you, whether an in‑person evaluation or surgery in California is appropriate, and schedule a date that works best for you.
Surgery
You travel to our surgical location in San Luis Obispo to receive world-class minimally invasive surgery, typically an outpatient or overnight hospital stay depending on complexity. Plan on staying in the area for at least 3-4 days if you don't live nearby.
Follow Up & Beyond
Learn More by Reading Our New Patients GuideWe keep in regular touch with you during your post-surgery healing journey, via phone and telehealth virtual visits, providing supplemental holistic support to ensure a successful return to health.
Our Surgical Locations
Hospital Privileges & Locations (Central Coast California)
Lotus Endometriosis Institute is a specialized clinical program of Steven Vasilev, MD, PC, a California professional corporation.
Lotus Endometriosis Institute, Tranquility Women's Health
154 Traffic Way, Arroyo Grande, CA 93420
Adventist Health Sierra Vista Regional Medical Center1010 Murray Avenue, San Luis Obispo, CA 93405
References to hospitals on this page describe California locations where Dr. Vasilev holds surgical privileges and where surgical procedures may be performed. The Institute is not owned by, operated by, or an official department of these hospitals.
Common Questions, Clear Answers
Common Questions from New Patients
Here are quick, clear answers to the questions we hear most often when patients are considering care at Lotus Endometriosis Institute.
Do you charge for a consultation?
No. Telehealth consultations are informational and free, and they’re scheduled only after an initial review to make sure a consultation will be meaningful for you. More information about this can be found in our new patients guide.
What happens before my consult is scheduled?
Before scheduling, our team performs a preliminary review of your symptoms and available medical records. If your case appears appropriate for care at Lotus Endometriosis Institute, they then proceed with the consultation process and next steps.
You’re out of network? Does that automatically mean I’ll pay everything?
No. Being out of network does not automatically mean you will be responsible for the full cost of care. Coverage depends on your individual plan and clinical circumstances, and our team helps patients understand their options and navigate insurer processes when appropriate. We discuss this in depth in our new patients guide.
What makes Lotus Endometriosis Institute different from a surgery-only practice?
Care at Lotus is built around an integrated model that combines advanced excision surgery with board-certified integrative medicine across the peri-operative timeline, supporting patients before surgery, through recovery, and beyond. We don't just treat the disease, we help you heal as a whole.
Dr. Vasilev is a gynecologic oncologist, doesn’t that mean he mainly treats cancer?
No. His gynecologic oncology fellowship/background and over three decades of MIGS experience means he has surgical training in complex pelvic anatomy and difficult operative situations, such as recurrence. That advanced skill-set translates directly to endometriosis surgical care from the simple to the highly complex. It means greater ability to work safely around the ureters, bowel, bladder, nerves, and major blood vessels, better judgment in dense scarred tissue, and more capacity to manage unexpected findings during surgery. His current practice is focused entirely on endometriosis and adenomyosis, not gynecologic cancer treatment.
Take the Next Step
Speak with Us — We’re Here to Listen
You don’t have to have everything figured out before you reach out — the consultation is simply a space to be heard and to get clear, honest guidance. You can begin virtually from anywhere, and we’ll walk with you at a pace that feels right for you.
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Serving patients throughout the Central Coast and beyond
Our Arroyo Grande office provides specialized endometriosis care for patients across the Central Coast, including San Luis Obispo, Grover Beach, Pismo Beach, Paso Robles, Santa Maria, and surrounding communities.
Many patients also travel from Santa Barbara County, Ventura County, Monterey County, Kern County, and other regions of California, including the San Francisco Bay Area, to receive advanced surgical evaluation and treatment.
Telehealth visits: Available to expedite consults, especially for those out of the area including out-of-state and beyond US borders.