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Surgery

Do I need a referral to see an excision specialist?

The short answer

In most cases, you do not need a referral to start the process with our excision surgery team. We review your medical records before scheduling a telehealth consultation. If your insurance requires a referral for out-of-network benefits, that is a separate administrative issue.

In most cases, you do not need a referral to start the process with our excision surgery team. You can reach out directly, and we’ll guide you through the next steps based on your symptoms, prior treatment, and goals.

Our first step is a purposeful telehealth consultation process based on your records. Before scheduling, we’ll ask you to send the medical records you have (for example, operative reports, pathology, and imaging reports) so we can determine whether a consult would be meaningful and what additional information, if any, we need.

If your insurance plan requires a referral for out-of-network benefits, that’s a separate administrative issue, not a barrier to speaking with us. Our team can help you understand your options and, when appropriate, help you navigate insurance questions so you can move forward with clarity.

Where to go from here

Understand it, compare it with what you're feeling, then talk it through with us.

Step 2 · Compare

Treatments to know about

Step 3 · Speak with Us

No Referral Needed to Start

You can contact our excision surgery team directly without a referral. Our specialists will guide you through personalized next steps based on your history and goals.

Questions people ask next

All surgery questions
  • How do I get endometriosis surgery?

    Getting endometriosis surgery usually starts with choosing a surgeon who can do complete excision. At our institute, a record-based telehealth consultation helps us determine whether surgery may be appropriate and what information is needed to plan safely.

  • How do I find a qualified endometriosis specialist?

    Look for surgeons who regularly treat complex endometriosis and can explain their training, surgical approach, and care for bowel or bladder involvement. Surgeon-vetting platforms and patient-reported experiences can help, but neither is perfect on its own.

  • When should I see an excision specialist for endometriosis?

    You may benefit from an excision specialist if symptoms are severe, persistent, or complex, or if deeper disease is a concern. This also applies if you’re trying to conceive, imaging suggests an endometrioma or significant adhesions, or symptoms never fully improved after surgery.

Reach Out

Have a question?

Lotus Endometriosis Institute provides California-based surgical evaluation and advanced excision care for patients with suspected endometriosis, adenomyosis, complex pelvic pain, and related conditions.


Many patients contact us from outside California to learn whether traveling for in-person evaluation and possible surgery may be appropriate.

Call Us

(424) 255-1340

(805) 920-0909

Fax: (805) 935-4338

Santa Monica, CA

2121 Santa Monica Blvd, Santa Monica, CA 90404

Operating Hours

8am - 5pm
Monday - Friday

Arroyo Grande, CA

154 Traffic Way, Arroyo Grande, CA 93420