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Endometriosis Surgery at Lotus

Next level excision done right, relief that lasts.

Robotic excision surgery for straightforward cases and the most complex ones, performed by a surgeon quadruple-credentialed in surgical and integrative medicine.

Dr. Steven Vasilev, MD30+ years experiencePatients from across the U.S.

Step 1 · Your options

Is surgery right for me?

Surgery is worth discussing when pain or other symptoms continue despite medication, when imaging shows an endometrioma or deep disease, or when you need a definite diagnosis. If you do have surgery, the technique matters. Excision cuts endometriosis out at its root, while ablation only burns the surface. Excision gives the most lasting relief, and because the removed tissue goes to pathology, it also confirms the diagnosis.

Excision vs. ablation, explained

Find your situation

Endometriosis

Excision removes it at the root and confirms the diagnosis.

Endometriosis Excision Surgery

Adenomyosis

Hysterectomy if you're done having children; uterus-sparing options if you're not.

Hysterectomy for Adenomyosis

Ovarian cyst (endometrioma)

Removing the cyst while protecting the ovary.

Ovarian Cystectomy
Deep, complex or repeat

When it involves other organs, or came back after surgery

Endometriosis on the bowel, bladder, ureters or diaphragm needs a surgeon who can work on every organ involved, in one operation, removing all of the disease and nothing more. Patients with the most complex cases are referred to us from across the country.

All deep & complex surgery
Bowel endometriosis surgeryShaving or excision that spares the bowel when possibleBladder & ureter surgeryProtecting kidney and bladder functionDiaphragm & upper abdomenFew gynecologic surgeons operate hereCytoreductionFor the most advanced, multi-organ diseaseStill in pain after surgery?Why it happens, and when a second opinion helps
Step 2 · Your surgeon

Who should do your surgery?

Look for a specialist who operates on endometriosis exclusively and regularly, excises it rather than ablating it, and can treat the bowel, bladder and ureters in the same operation instead of handing you off.

How to choose an endometriosis surgeon: 7 questions to ask
Profile picture of Dr. Steven Vasilev MD

Dr. Steven Vasilev, MD

Gynecologic oncologist focused on endometriosis · 30+ years experience

  • Robotic excision every time: a magnified 3-D view and wristed instruments for precise work in tight, scarred spaces.
His training, board certifications and outcomes →
Nearly all of my symptoms are gone
Patient story
I traveled from Colorado
Patient story
I feel SO validated!!
Patient story
Patient stories
Step 3 · Getting started

How do I start?

With your records, not a waiting room. Our team reviews what you send and tells you plainly whether we may be able to help. Then you meet Dr. Vasilev by video: a focused, record-based specialist consultation. There is no charge for it. Before any surgery, we gather whatever else we need to plan it well.

  1. Send your records

    Use the form or call us. Operative, pathology and imaging reports help most.

  2. We review them

    We tell you directly whether we may be able to help, and what else we need.

  3. Video consultation

    Dr. Vasilev goes over your history, imaging and goals with you.

  4. Testing

    More imaging, bloodwork, a SIBO breath test or others, so we plan the surgery and your recovery with as much information as possible.

  5. Plan and a fixed price

    If surgery is right, our advocacy partner works with your insurance. Your price is set before anything is booked.

  6. Surgery and recovery

    In Los Angeles or on the Central Coast. Most often it is still a same-day outpatient procedure; follow-up is by video.

Insurance

Yes, we take insurance; it just works differently here.

Insurance & Cost

Coming from out of state?

Your record review and consultation are by video, as they are for every patient. You travel to California only for surgery and the first days of recovery.

Traveling for surgery

Locations

Santa Monica: Providence Saint John's and Cedars-Sinai Marina del Rey. Arroyo Grande: the Central Coast.

Santa MonicaArroyo Grande

Talk with Dr. Vasilev about your options.

Send your records and we'll take it from there.

Schedule Consultationor call (424) 255-1340

Patients often ask

  • What is deep infiltrating endometriosis (DIE) and how is it treated?

    Deep infiltrating endometriosis (DIE) grows deeper into tissue and can affect organs like the bowel or bladder. Treatment depends on its location and effects; when surgery is appropriate, carefully removing the disease at its roots is the gold-standard approach.

  • How is multi-organ endometriosis treated without organ removal?

    In many multi-organ cases, conservative surgery removes endometriosis and frees organs from scar tissue while preserving the organs themselves. Robotic excision can improve precision, and treatment planning may include other surgical specialists.

  • How do I choose an excision specialist after failed endometriosis surgery?

    Choose a team that routinely treats complex endometriosis after prior surgery and plans complete excision, not surface burning alone. Look for peer-vetted surgical skills, a clear explanation of what they would do differently, and coordinated specialists for multi-organ disease.

  • How long is recovery after endometriosis excision surgery?

    Most patients can do light, gentle activities within a few days after endometriosis excision surgery. Many people can return to typical day-to-day routines over the next several weeks, depending on the extent and locations of disease treated and their work.

More questions about endometriosis surgery