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Endometriosis · 7 min read

Endometriosis surgery and laparoscopy — what to expect

Laparoscopy is the gold standard for diagnosing and treating endometriosis. Here's what the surgery involves, recovery, and what comes after.

Dr Priya RamanUpdated July 2026
Medically reviewed by Dr Priya Raman, AHPRA-registered GP — Last reviewed July 2026
Endometriosis surgery and laparoscopy — what to expect

Why is surgery needed?

Endometriosis can only be definitively diagnosed by directly visualising the tissue — which requires surgery. A laparoscopy is a keyhole procedure where a small camera is inserted through a tiny incision near your navel, allowing the surgeon to see and treat endometriosis.

Surgery may be recommended to confirm the diagnosis, remove endometriotic tissue, improve fertility, or relieve pain that hasn't responded to other treatments.

What happens during the procedure?

Laparoscopy is performed under general anaesthetic. The surgeon makes several small incisions, inserts the camera and instruments, and removes or destroys the endometriotic tissue. The procedure typically takes 30–90 minutes depending on the extent of the disease.

It's usually a day procedure, meaning you go home the same day, though more complex cases may require an overnight stay.

Recovery and follow-up

Most women recover within one to two weeks. You may experience shoulder pain (from the gas used to inflate your abdomen), cramping, and fatigue. Your surgeon will advise when you can return to normal activities.

After surgery, your GP and gynaecologist will discuss ongoing management. Endometriosis can recur, so a long-term plan — which may include hormonal treatment — is important to keep symptoms at bay.

Related condition

Endometriosis

References & sources

This content is general information and not a substitute for individual medical advice. Please consult a GP for your personal situation.

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