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When is surgery appropriate for endometriosis?

Topic:Surgery
Affected areas:pelvicabdominalbowel

Surgery may be worth considering when symptoms remain disruptive despite trying appropriate medical management, or when pain is escalating and limiting daily life. It can also be appropriate when endometriosis is suspected to be affecting fertility goals, or when imaging and exam findings raise concern for deeper disease that may not respond well to medication alone.


The right next step depends on your full history, prior treatments, and what we’re trying to accomplish—pain relief, fertility support, protecting organs, or clarifying the diagnosis. In a consultation, our team can review your symptoms and records, discuss the expected benefits and limitations of surgery in your specific case, and outline what an individualized surgical plan would look like if you choose to move forward.

An illustration of a woman getting robotic excision surgery.

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Dr. Steven Vasilev delivers best-in-class endometriosis guidance and a personalized treatment plan—built on evidence and your unique biology.


Led by Steven Vasilev, MD—an internationally recognized endometriosis specialist & MIGS surgeon—Lotus Endometriosis Institute is virtual-forward, with many patients traveling nationally for care. Clinical evaluation and surgical treatment are provided in California.

Santa Monica, CA

2121 Santa Monica Blvd, Santa Monica, CA 90404

Operating Hours

8:00 am - 5:00 pm
Monday - Friday

Arroyo Grande, CA

154 Traffic Way, Arroyo Grande, CA 93420