Do I need pelvic floor therapy before or after endometriosis surgery?

Often, yes—pelvic floor therapy can be an important part of care even when you’re planning surgery. Excision can remove endometriosis lesions, but it doesn’t automatically reset pelvic floor muscle guarding, trigger points, or the way the nervous system may have learned to amplify pelvic pain over time.

Depending on your symptoms, therapy may be helpful before surgery to reduce baseline tightness and improve bowel, bladder, or pain with sex, and after surgery to support a smoother return to comfortable movement and function. Our team can help you decide whether pelvic floor therapy fits into your surgical plan and when it’s most likely to help based on your exam, symptom pattern, and prior treatment history.