15/05/2026
There’s something deeply wrong happening in complex endometriosis surgery.
Too many surgeons who specialise in completely different areas of gynaecology are still pretending they can operate on severe deep endometriosis involving the bowel, bladder, ureters, diaphragm, pelvic nerves, and beyond.
And patients don’t realise the difference… until years later.
Incomplete excision is not “good enough.”
Burning the surface while leaving disease behind is not expertise.
Doing a two-hour “endo surgery” for disease that genuinely takes 6+ hours to excise properly is not efficiency — it’s avoidance.
Because true deep endometriosis surgery is slow.
Meticulous.
Technically exhausting. 🥼
It means identifying pelvic spaces that most surgeons never enter.
Protecting nerves, vessels, ureters, bowel, bladder.
Working millimetre by millimetre.
And yes — sometimes that means one operation takes an entire day. ⏱️
Patients are not training material.
Human beings are not there for surgeons to experiment on while claiming “special interest” after a weekend course.
If you are not trained to deal with bowel disease, bladder disease, diaphragmatic disease, retroperitoneal fibrosis, or complex pelvic neuroanatomy — then ethically, you should not be there.
This isn’t ego.
This is patient safety. ⚖️
Women deserve honesty about complexity.
Women deserve complete information.
And women deserve surgeons who know the limits of their own skill set. 🧠
