Endometriosis Care for Texas & The Mountain West: Why Patients Travel to California

For patients living in Texas (Dallas, Houston, Austin) and the Mountain West (Colorado, Utah, Nevada), access to specialized healthcare is often a paradox. You have massive medical centers and high-profile private clinics, but finding a cohesive, multidisciplinary team for Complex Endometriosis remains a struggle.

• The Texas Problem: Many top-tier “excision centers” in Texas operate as solo practices. While the gynecologist may be skilled, they often lack a dedicated colorectal partner in the room.

• The Mountain West Problem: In states like Wyoming and New Mexico, specialized care for deep infiltrating disease is almost non-existent (“medical deserts”).

The solution is a direct flight to California. At our center, you get what is missing back home: True Multidisciplinary Care under one roof. Patients are crossing state lines to trust their care to the “Dream Team”: Dr. Mallory Stuparich and Dr. Alessio Pigazzi.

1. The Risk of the “Solo Surgeon” Model (Why Texas Patients Travel)

Many patients in Texas pay significant Out-of-Network (OON) fees for excision surgery, assuming they are getting the best. But there is a hidden risk: Most of these private practices are “Solo-Surgeon” outfits.

If your surgeon encounters deep endometriosis on the bowel or rectum and does not have a colorectal expert on standby, they face a difficult choice:

1. “Shave” the disease superficially (leaving roots behind).

2. Leave the disease entirely to avoid complications.

This leads to Incomplete Excision. We see many patients from Texas who need a second surgery because their first surgeon wasn’t equipped to handle the bowel involvement. At ESSI California, we eliminate this risk. With Dr. Alessio Pigazzi (a world-famous colorectal surgeon) on the team, we have the capability to fully excise deep bowel nodules in the same surgery, ensuring you are “one and done.”

2. The “Texas Connection”: Dr. Mallory Stuparich

For our patients flying in from Dallas, Houston, and San Antonio, Dr. Stuparich is a familiar face with a pedigree you trust. She is not just a California surgeon; she has deep roots in Texas medicine.

• UT Southwestern Alum: Dr. Stuparich completed her medical school and residency at the prestigious UT Southwestern and Parkland Hospital in Dallas.

• Parkland Training: Trained in one of the busiest, most high-volume centers in the nation, she brings a level of surgical grit and experience that is hard to find.

• Se Habla Español: During her time in Dallas, Dr. Stuparich honed her fluency in Spanish to better serve her patients. She removes the language barrier, ensuring you are heard and understood in your native language.

3. The “One Roof” Advantage: GYN + Colorectal

In California, we offer something rare: Two experts, one surgery.

• Dr. Mallory Stuparich: A master of Robotic Excision (LAPEX) who meticulously removes disease from the reproductive organs and pelvic sidewalls.

• Dr. Alessio Pigazzi: A world-famous colorectal surgeon and Chief of Colorectal Surgery. Dr. Pigazzi is internationally recognized for his expertise in robotic bowel surgery.

Why this matters: If your endometriosis has infiltrated the bowel (common in severe Stage 4 cases), you don’t want a general surgeon on call. You want a legend in the field who can preserve function. This combined firepower is worth the flight.

4. Seamless Travel for Out-of-State Patients

We have designed our care model to be seamless for the fly-in patient.

• Easy Access: Direct flights to John Wayne Airport (SNA) or LAX are available from DFW, IAH, DEN, SLC, and PHX.

• Virtual First: You can meet Dr. Stuparich from your living room in Austin or Park City. We review your MRI virtually so that your trip is focused purely on treatment.

Expertise Worth the Miles

Don’t risk an incomplete surgery. Whether you are escaping the solo-practices of Texas or the medical deserts of the Rockies, world-class multidisciplinary care is closer than you think.

[Book a Virtual Consultation with Dr. Stuparich] Serving patients from Texas, Colorado, Utah, Nevada, New Mexico, and Arizona.