Laparoscopic excision is keyhole surgery to identify and remove endometriosis. Through small incisions in the abdomen, a camera and fine instruments are used to inspect the pelvis and carefully cut out the affected tissue, rather than simply burning its surface. Excision allows the tissue to be sent for pathology and aims to remove disease at its full depth.

The procedure is performed under general anaesthetic. Most women go home the same day or after one night in hospital, depending on the extent of surgery. Where endometriosis involves the bowel, bladder or ureters, surgery may be planned jointly with a colorectal or urological surgeon.

Recovery is usually one to two weeks for a straightforward procedure and longer for more extensive surgery. Some pelvic discomfort and shoulder-tip pain from the gas used during laparoscopy are normal in the first few days.

Surgery is one part of a longer-term plan. Follow-up focuses on managing symptoms, considering hormonal suppression to reduce recurrence, and supporting fertility where that is a priority.