Laparoscopy is performed in the operating room with a telescopic camera introduced via a small puncture rather than through a full incision. The camera allows the surgeon to evaluate the uterus, ovaries, and other organs, and to biopsy any suspicious lesions or remove small, externally dangling pedunculate fibroids.

Laparoscopic surgery for endometriosis is also becoming increasingly popular, enabling surgeons to meticulously remove endometrial implants with special laser techniques specific to each tissue type, while leaving the reproductive system intact.

Outcome is largely dependent on the extent of the endometriosis and the surgeon’s skill. Again, it is ideal to see an endometriosis specialist for this type of procedure. Repeat procedures may be needed, since endometriosis can grow back, and adhesion scar tissue can also develop.

Removing the uterus for endometriosis is usually not helpful because the condition is systemic and not caused by the uterus.