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When should I see an excision specialist for endometriosis?

Topic:Surgery
Affected areas:pelvicbowelbladder

If your symptoms are severe, persistent, or complex—or if there’s concern for deeper disease involving the bowel, bladder, ureters, or diaphragm—it’s often a sign you may benefit from an excision-focused specialist. The same is true if you’re trying to conceive, if imaging suggests an endometrioma or significant adhesions, or if you’ve already had surgery but your symptoms never fully improved.


Specialist training matters because endometriosis can be subtle, can hide in difficult-to-see areas, and may affect structures where precision and safety are critical. Our team can help evaluate your history, imaging, and prior operative reports to clarify what’s most likely driving your symptoms and what options make sense. If you’re unsure where you fit, you can reach out to schedule a consultation and get a clear, individualized plan.

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