Surgery

Evidence-based guidance on when and how operative management helps endometriosis: indications, imaging for planning, laparoscopy/robotic and excision techniques, risks, benefits, and recovery, to support informed choices with your care team.

Excision Surgery Imaging for Surgery Laparoscopy Postoperative Recovery Robotic Surgery

Overview

Surgery can play a meaningful role in treating endometriosis when symptoms persist despite medical and supportive care, or when imaging suggests deep infiltrating disease involving the bowel, bladder, or ligaments. Excision performed by an experienced surgeon aims to remove disease thoroughly while protecting vital structures. High-quality preoperative mapping, including Imaging for Surgery, helps surgeons plan the safest and most effective approach.

Excision Surgery differs from ablation because lesions are removed rather than burned, reducing the likelihood of incomplete treatment. Minimally invasive techniques—laparoscopic or Robotic Surgery—allow precise visualization, smaller incisions, and smoother recovery. Surgical decisions depend on symptom patterns, fertility goals, prior treatments, and anatomical findings.

Recovery involves gradual return to activity, symptom monitoring, and personalized pain management. Some patients experience immediate improvement, while others notice changes gradually as inflammation decreases and tissues heal. Surgery is not a universal solution, but when performed for the right indications, it can significantly improve pain, function, and fertility outcomes.