Laparoscopy is the most common procedure used to diagnose and remove mild to moderate endometriosis. Instead of using a large abdominal incision, the surgeon inserts a lighted viewing instrument called a laparoscope through a small incision. Our clinical experience tells us that better results are obtained when endometriosis is excised (cut out), rather than cauterized or lasered, whenever there is the slightest hint that the disease goes deeper than the most superficial layers of pelvic tissue. We have extensive experience with this technique, including in cases of very advanced (stage IV) disease. We perform about 200 surgeries per year on endometriosis. It can take a week or more before you’re ready to return to your regular activities. You should be able to resume having sex within two to four weeks following the procedure but check with your doctor first. A doctor may prescribe pain medications to take following the surgery. Resting and avoiding excess strain on the abdomen may also help. A person should avoid lifting, pushing, or pulling heavy objects during the first few weeks of recovery to reduce their chances of a hernia.