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Surgery

What pain and swelling are normal after laparoscopy or excision?

The short answer

Incision soreness, period-like cramping, bloating and abdominal swelling are normal after laparoscopy or excision. Many patients also feel shoulder-tip pain from surgical gas, and discomfort and swelling are expected to improve day by day.

It’s normal to have soreness around the incisions, period-like cramping, bloating, and a feeling of abdominal swelling after laparoscopy or excision. Many patients also feel shoulder-tip pain from the gas used during surgery. These symptoms are usually most noticeable in the first few days. Overall, we expect discomfort and swelling to improve steadily day by day.

We want to hear from you right away if symptoms are worsening instead of improving after about day 3–4, or if you develop a fever, foul-smelling or pus-like drainage from an incision, heavy vaginal bleeding, new calf swelling, or any shortness of breath. These can be signs of complications that need prompt evaluation. Our team can guide you on what to do next based on your specific surgery and symptoms.

Where to go from here

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

Step 1 · Understand

Understand the condition

Step 2 · Compare

Symptoms it can relate to

Step 3 · Speak with Us

Concerned About Post-Surgery Pain?

It's normal to experience soreness, cramping, and swelling after surgery, but your comfort should improve daily. Our specialists can help monitor your recovery and address any complications promptly.

Questions people ask next

All surgery questions
  • When is pelvic pain an emergency after surgery?

    Pelvic pain after surgery is urgent when it’s severe, rapidly worsening, or out of proportion to earlier recovery. It’s an emergency with fever or chills, heavy vaginal bleeding, fainting, new chest pain or shortness of breath, or increasing belly swelling or a hard, tender belly.

  • How do I relieve gas-related shoulder pain after laparoscopy?

    Gentle, frequent walking, changing positions, and heat on the shoulder or upper back tend to help relieve gas-related shoulder pain after laparoscopy. Some people also get relief from sitting upright, supportive pillows, and taking post-op pain medication on schedule.

  • 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.

  • How can I tell if I have an infection after surgery?

    Worsening pain, spreading redness or warmth, increasing swelling, cloudy or foul-smelling drainage, or an incision starting to separate raise concern for infection after surgery. Fever, chills, or new pelvic or abdominal pain that escalates can also be warning signs.

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