Once you’ve made the decision to pursue surgery for endometriosis, you face the most critical choice of your journey: selecting your surgeon. In this field, the term “best gynecologist for endometriosis” is not about bedside manner alone; it is a technical distinction. It means finding a surgeon with mastery in one specific, non-negotiable technique: Excision Surgery.

Many patients come to me for a second or third surgery, unaware that their first procedure was destined to fail. Let’s clarify the difference between the surgery that works and the one that doesn’t.

Excision vs. Ablation: The Root of Surgical Success

Imagine a weed in a garden.

• Ablation (or Fulguration): This is like mowing the lawn. The surgeon uses heat to burn the surface of the endometriosis lesions. It looks better temporarily, but the root remains. The disease inevitably grows back, and the pain returns.
• Excision Surgery: This is like pulling the weed out by its roots. The surgeon meticulously cuts the diseased tissue out from its base, ensuring no part is left behind. This is the only technique that offers the potential for long-term relief.

As an endometriosis specialist in India, my practice is built exclusively on the principle of excision.

What Defines an Elite Endometriosis Surgeon?

• High Volume of Complex Cases: They operate on endometriosis multiple times a week, not a few times a year. This volume builds unparalleled skill.
• A Warning Sign on Time: Be wary of any surgeon who claims they can perform complex endometriosis surgery in under 30 minutes. This is a major red flag. Excising disease from vital organs requires meticulous care.
• Multidisciplinary Team: For complex cases involving bowel or bladder endometriosis, they work seamlessly with colorectal and urological surgeons.
• Low Recurrence Rates: Their patient outcomes speak for themselves. This is the most crucial factor when considering the cost and investment in your surgery.

A Note on Technology: Laparoscopy vs. Robotic Surgery

Patients often ask if they should choose a robotic procedure. My answer is always the same: Choose the surgeon, not the tool. Both standard laparoscopy and robotic surgery are tools to perform excision. An expert surgeon achieves mastery with their chosen instrument. The success of your surgery depends entirely on their skill in excising the disease.

Finding a true specialist may mean looking in major hubs like Hyderabad, Delhi, or Mumbai. Many of my patients travel from cities like Nagpur, Jaipur, and Kochi because they understand that the surgeon’s skill is paramount.

Don’t gamble on your surgical outcome. Demand an excision specialist. Schedule a consultation to discuss our meticulous surgical approach and review our patient outcomes.

Frequently Asked Questions (FAQ)

Q1: Why do some surgeons still perform ablation?
 Ablation is a faster, technically simpler procedure that doesn’t require the same level of advanced training as excision. However, it is not considered the gold standard for treating deep endometriosis due to high rates of recurrence.

Q2: Is robotic surgery better than laparoscopy for endometriosis?
Neither is inherently “better.” The success of the surgery depends on the surgeon’s skill in performing complete excision. An expert can achieve excellent results with either tool. The focus should be on the surgeon’s expertise, not the device.

Q3: How can I verify if a surgeon is an excision specialist?
Ask them directly about their surgical philosophy (excision vs. ablation), their case volume for complex endometriosis, and ask to see before-and-after surgical photos or videos. True specialists will be transparent about their technique and outcomes.

Author Bio:
Dr. Vivek Salunke is a leading Endometriosis Excision Surgeon in India. With extensive training and a practice dedicated exclusively to advanced laparoscopic and robotic excision surgery, he is committed to providing women with a definitive, long-term solution to endometriosis. His multidisciplinary approach ensures comprehensive care for even the most complex cases, including deep infiltrating and bowel endometriosis.