Your Path to a Pain Free Future

Why Choose Lotus — Dr. Steven Vasilev MD

At Lotus Endometriosis Institute, world-class expertise meets genuine compassion. Dr. Steven Vasilev and this team offer thousands of hours in advanced excision experience with integrative, whole-person care—delivering safer surgeries and the best chance for lasting results.

A closeup of Dr Steven Vasilev MD, director of Lotus Endometriosis Institute

Accomplishing the Impossible

Why Patients and Physicians Trust Dr. Steven Vasilev

When hope feels uncertain, patients and even other physicians turn to Dr. Vasilev for solutions that others might call improbable, if not impossible. His unparalleled training and experience make him the trusted choice for advanced endometriosis care, where surgical precision, compassion, and innovation converge.

Super DoctorsAn independent peer-review based program that identifies physicians who have attained a high degree of professional achievement. Dr. Steven Vasilev’s selection reflects his reputation for surgical excellence and leadership among his colleagues.
Best DoctorsA respected network highlighting only the most highly rated medical specialists — Dr. Vasilev’s recognition here speaks to his peer-acknowledged expertise and multidisciplinary referral reputation.
iCareBetterA video vetted directory connecting patients with top endometriosis specialists — Dr. Vasilev’s inclusion affirms his status among the leading surgeons in complex pelvic care.
American College of Surgeons (FACS)Fellowship in the ACS signifies the highest standards of surgical skill, ethics, and professionalism. Dr. Steven Vasilev’s FACS designation recognizes his long-standing commitment to those ideals in advanced gynecologic surgery.
Sigma XiRecognizes distinguished research achievement — Dr. Vasilev’s election reflects his deep engagement with scientific investigation beyond standard surgical practice.
Alpha Omega Alpha (AΩA)A national medical honor society celebrating leadership, scholarship and service — Dr. Vasilev’s membership marks his enduring commitment to excellence in patient-care and professional ethics.
American Board of Obstetrics & GynecologyThe certifying board setting national standards for OB-GYN specialists — Dr. Vasilev’s board certification indicates he meets and maintains the highest benchmarks in women’s surgical health.
Academy of Integrative Health & MedicineA global community advancing whole-person, integrative healthcare — Dr. Vasilev’s board certifications with ABIHM and ABOIM as well as membership in AIHM underscores his additional holistic approaches to treatment that go beyond average traditional medical care.
Intuitive SurgicalCreators of the da Vinci Surgical System, the world’s most advanced robotic surgery platform. Dr. Steven Vasilev serves as a proctor for Intuitive, called upon to train other surgeons in the safe and effective use of these systems.

Unmatched Expertise & Credentials

A Surgeon in a Class of His Own

Dr Steven Vasilev MD is the only verifiably quadruple-board-certified endometriosis excision surgeon in the United States—holding boards in Gynecology, Gynecologic Oncology, and both Integrative and Holistic Medicine. This rare combination merges cancer-level surgical mastery with a whole-person philosophy of care. His expertise spans the full continuum of endometriosis and complex pelvic disease—from root-cause discovery in a research lab to advanced robotic excision and individualized peri-operative optimization.

A clean and prepped operating room showing advanced surgical equipment
A gorgeous and prestigious brick tower and building on the USC college campus.

Foundations Built on Surgical Excellence

Training at the Highest Level

Well beyond the many who briefly train in variably-focused fellowship programs and declare “expertise,” Dr Vasilev’s foundation was built through decades of mentorship within elite academic and surgical environments. At the University of Southern California (USC) under Daniel R. Mishell Jr MD, Dr. Vasilev was immersed in endocrine, endometriosis and infertility care due to program focus. Also, unlike OB-GYNs planning a career in obstetrics and routine gynecology, Dr. Vasilev opted for general surgery and urology rotations—mastering anatomy and dissection techniques alongside leaders such as Donald G. Skinner MD, a world-renowned pioneer in urologic oncology.


He then completed an intense, high-volume surgical gynecologic oncology fellowship led by internationally respected master surgeon C. Paul Morrow MD. Following this, he spent nearly a decade on faculty at City of Hope, collaborating daily with general, urologic, plastic and thoracic surgeons. This extensive cross-disciplinary experience forged superlative surgical judgment and technical fluency above and beyond the capabilities of just a 1-2 year MIGS or endometriosis fellowship trainee, and beyond standard Gyn-Onc fellowship training alone.


Endometriosis Focused

Focused Exclusively on Endometriosis and Complex Pelvic Disease

Dr Vasilev’s practice is dedicated exclusively to endometriosis, adenomyosis, and related malignancies. He applies the breadth and precision of oncologic surgery to benign disease, routinely managing cases other centers deem “inoperable” or "too difficult." Both patients and physicians refer to him since the best outcome is optimal excision using advanced retroperitoneal dissection, nerve-sparing, and fertility-preserving techniques.

A closeup of a doctor placing there hand on the hand of a female patient in a hospital bed, giving comfort and conveying compassion

Innovation that Redefined Possibility

Pioneer in Minimally Invasive and Robotic Surgery

Long before advanced robotics and minimally invasive excision became common, Dr. Vasilev was helping shape the field itself. His forward-thinking approach and dedication to innovation continue to inspire a new generation of surgeons—and to transform the lives of patients worldwide.

  • Early 1990s: among the first in the U.S. to perform radical intra- and retroperitoneal pelvic procedures laparoscopically, when most gynecologists were still barely learning and remaining limited to basic hysterectomy.

  • Mid-2000s: one of the earliest adopters of DaVinci robotic technology in gynecology, harnessing 3-D precision for ultra-complex disease excision and reconstruction.

  • Published innovator in advanced cytoreductive techniques—methods performed by only a handful of surgeons worldwide and directly applicable to deep, infiltrative endometriosis.

  • Has trained hundreds of surgeons through residency and fellowship programs at USC, UCLA, UCI, City of Hope, Kaiser Permanente, White Memorial, Loma Linda, and Saint John’s Cancer Institute in gynecology, gynecologic oncology, endometriosis, urologic oncology and general surgical oncology.

  • Has been selected to proctor surgeons new to DaVinci robotic surgery via Intuitive Surgical

Dr. Vasilev’s pioneering work in laparoscopic and robotic techniques contributed to bridging the gap between traditional open surgery and today’s most advanced excision methods. His research, publications, and teaching have influenced the evolution of complex pelvic surgery across multiple disciplines.

Where Skill Meets Proven Outcomes

Measured Excellence

Behind every successful operation lies a record of precision, consistency, and care that can be measured. Dr. Vasilev’s results reflect decades of disciplined practice, uncompromising safety, and surgical mastery that set a rare benchmark in advanced excision. His outcomes are not only exceptional—they are verifiable proof of excellence, especially since the practice focus is on advanced cases.


Learn More About Dr. Vasilev

10,000+

hours spent on advanced excision and complex pelvic reconstruction — not just bulk volume of routine cases.

Zero

organ-injury or major-complications in any surgery over the past decade.

Zero

cases requiring large open incisions — every surgery completed minimally invasive, regardless of disease severity.

~ 5%

or less recurrence rate at five years post surgery, among the best outcomes reported worldwide.

Dr. Vasilev speaking with Lisa Stern in physicians attire at the hospital
Closeup of robotic arms and tooling of the DaVinci robotic surgery machine

Team Leadership and Surgical Judgment

True excellence lies in judgment. Endometriosis that involves bowel, bladder, ureters, or diaphragm demands advanced expertise. Team orchestration across surgical disciplines, when necessary to optimize results, is also key.


Dr Vasilev serves as the lead surgeon and quarterback, able to perform over 95% of required procedures himself while knowing precisely when to integrate additional subspecialists—thoracic for VATS resections, neurosurgery for guidance of advanced perineural excisions, and similar. This balance of capability and discernment defines the pinnacle of surgical leadership.

The Difference Expertise Makes

Why This Matters

Every credential and every hour of surgical experience translates to something patients can feel and measure:

  • Complete, safer, shorter operations

  • Reduced risk, less blood loss, faster recovery

  • Single-digit recurrence rates and restored quality of life

  • Comprehensive integrative optimization addressing inflammation, hormonal balance, nutrition, and healing

While many excision surgeons provide good care, Dr. Vasilev’s depth of training, surgical range, and integrative approach make him objectively unique — a surgeon who sets the benchmark for what “best” means in endometriosis care.

Reach Out

Have a question?

We understand that healthcare can be complex and overwhelming, and we are committed to making the process as easy and stress-free as possible.

Santa Monica, CA

2121 Santa Monica Blvd, Santa Monica, CA 90404

Operating Hours

9:00 am - 5:00 pm
Monday - Friday

Arroyo Grande, CA

154 Traffic Way, Arroyo Grande, CA 93420