Although endometriosis can be treated medically with hormones, side-effects and the need for prolonged therapy can make surgery an attractive alternative. Laparoscopy can then often be used to destroy or excise the deposits of endometriosis, remove endometriomas and free adhesions with the aim of alleviating symptoms almost immediately.

Surgery can, however, be technically difficult when the endometriosis is severe with dense adhesions or deep deposits, and sometimes it is preferable to leave some deposits rather than risk a major complication (e.g. bowel injury). If surgery is incomplete, you may be recommended to take medical treatment for a few months after the procedure.