Laparoscopy

Laparoscopy is the standard minimally invasive surgery used to diagnose and treat endometriosis through a few small incisions and a high‑definition camera. It allows surgeons to map lesions, free adhesions, and restore pelvic anatomy, often improving pain and fertility. Decisions to operate are individualized based on symptoms, failed conservative care, fertility goals, and imaging; high‑quality ultrasound or MRI can help plan the procedure and team, especially for deep disease. See related guidance in Diagnostics & Imaging and Imaging for Surgery.

During laparoscopy, surgeons may remove disease by excision or ablate superficial lesions; the choice depends on lesion depth, location, and your priorities. For durable pain relief and complex or deep disease, evidence generally favors excision; superficial disease may be ablated in selected cases. Robotic versus conventional approaches mainly reflect surgeon preference and case complexity, with outcomes driven by expertise. Laparoscopy does not diagnose adenomyosis, though laparoscopic hysterectomy or uterus‑sparing procedures may address it; see Adenomyosis and Surgical Options. Expect outpatient surgery and a graded recovery with specific guidance in Postoperative Recovery.