Your Symptoms
Deserve a Closer Look
Complete excision by our multispecialty
team, done right the first time.
2-min form · reviewed by our team within 3-5 business days
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The right Excision surgery can shape everything after
Endometriosis surgery is complex. Our Harvard, Hopkins and Cleveland Clinic fellowship-trained surgeons plan every case together beforehand, using advanced endo mapping to identify disease before the first incision.
General Endo care has limits
OBGYNs provide essential care. Thorough excision requires a high-volume, specialized surgical team with multidisciplinary training.
Endometriosis can involve more than one Organ
Endometriosis lesions can affect multiple structures, so the team must be prepared to excise what they find in the OR the first time around.
No Exploratory laparoscopic Surgery: Thorough Excision of Lesions the First Time Around
We map disease before you're in the OR, so surgery isn't a guessing game.
Start with a High-Volume multispecialty team built for endometriosis surgery
Excise All of Your Endo. In One Surgery.
At WECS, your surgeons walk you through your surgical plan in detail before you enter the OR. You'll know what to expect, including how deep infiltrating endometriosis is handled.
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Most Endo Does Not Show on Ultrasound. Deep Infiltrating Disease Can
When deep infiltrating disease is suspected, surgeon-led ultrasound mapping may help identify lesions on the bowel and bladder before surgery. We utilize diagnostic ultrasound based on the International Deep Endometriosis Analysis (IDEA) group protocol and the Morphological Uterus Sonographic Assessment (MUSA) criteria.
Dynamic ultrasound for sonographic staging of endometriosis helps your surgeon know what to expect before your excision surgery.
Important note: Not all patients require pre-operative ultrasound and we are not a radiological center. It is offered only when clinically appropriate and when results may meaningfully guide surgical planning.
A Bowel Endometriosis Specialist Means More Options, Not Just
Radical Surgery
Bloating, cramping, sharp pain with bowel movements, and pain that worsens around your period may be connected to bowel endometriosis.
Many patients with bowel endometriosis are told they need extensive colorectal procedures. At WECS, bowel endometriosis specialist Dr. Vincent Obias, who completed his fellowship at Cleveland Clinic, approaches every bowel case with organ preservation first. The goal is to remove disease thoroughly while protecting as much healthy tissue as possible.
Before surgery, you will see exactly what is involved, what is planned, and how decisions will be made. Nothing happens without your consent.
Preoperative Endometriosis Mapping: A Surgical Standard Few Practices Offer
Complete excision of all organs with lesions requires advanced training and enough surgical time to remove disease thoroughly, not just what's visible on the surface.
Evaluates visible pelvic structures but cannot fully assess disease beneath the surface or determine the extent of organ involvement before surgery.
Provides limited preoperative information, requiring disease extent and organ involvement to be assessed during surgery.
Requires general anesthesia and surgical incisions just to evaluate disease.
No
Used selectively when clinically needed, but not relied on as the primary planning tool for complex endometriosis surgery.
Identifies deep infiltrating endometriosis involving the bowel, bladder, ureters, pelvic nerves, and areas of anatomic distortion caused by adhesions before surgery begins.
Allows surgeons to anticipate complex disease, involve additional specialists when needed, and plan for complete excision from the outset.
Performed in-office with no anesthesia or incisions. We stay in communication throughout and stop if you're uncomfortable.
Yes
Standard component of surgical planning for every appropriate surgical candidate.
* Honest note: Excision is treatment, not a cure. Lesions can recur. Your team will explain the risks before you decide anything.
fertility goals Inform Your excision plan from the start
How a surgeon approaches endometriosis lesions near your ovaries and tubes has real implications for your reproductive future. Those decisions are made with you before surgery, not discovered and managed mid-operation.
Symptoms: An Endo diagnosis is Not required to reach out
Still deciding?
If you have suspected or diagnosed endometriosis, superficial, endometriomas, or deep infiltrating, you don’t need to know whether you need surgery before contacting us. That’s part of our job. We’ll review your history to determine the most appropriate next step. Not every evaluation requires an appointment with an endometriosis surgeon, and we’ll guide you accordingly.
A few honest answers.
No. Many patients come with suspected endometriosis or persistent unexplained symptoms. You do not need a prior diagnosis or prior surgery to reach out.
Like most endometriosis specialists, WECS providers are out of network with insurance. However, if your plan includes out-of-network benefits, we’ll submit claims on your behalf and work with your insurer to maximize your coverage. Many patients with commercial insurance plans pay very little out of pocket. We’ll clearly explain any fees before your appointment is confirmed. The hospitals where we perform surgery, along with their associated providers, are in-network with most insurance plans.
When non-surgical management is more appropriate, we can connect you with providers who offer specialized care, including our GYN nurse practitioner, Jen Lanoff. Jen specializes in complex pelvic pain and symptom management, provides a range of gynecological services, and is an educator to fellow healthcare providers on complex pelvic health conditions.
We aim to respond to all cases with 3-5 business days. Some case reviews may take longer though you're always welcome to call us an check on the status of your consultation request.
What Happens After You Submit Your Endometriosis Consultation Request
We review your case
We carefully review the information you share to understand your symptoms, history and what you’re looking for.
We reach out to book
If you appear to be a candidate, we contact you to schedule and appointment virtually or in-person.
We explain What to Expect
Before your visit, we’ll explain what happens during our comprehensive evaluation, what information to bring, and how we determine the next steps for your care.
Ready for a Team That Prioritizes Organ Preservation?
Request an endometriosis surgical consult. We’ll carefully review your info and let you know whether WECS may be the right fit for you.
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