Endometriosis is a chronic, often debilitating condition that affects an estimated 1 in 10 people assigned female at birth. For many, surgical treatment becomes a critical step in diagnosis and long-term symptom relief. But not all surgeons are trained equally—especially when it comes to minimally invasive excision surgery for endometriosis.
That’s where MIGS (Minimally Invasive Gynecologic Surgeons) come in.
What Is a MIGS Surgeon?
MIGS refers to a subspecialty within gynecology focused on advanced, minimally invasive surgical techniques, including laparoscopy and robotic-assisted surgery. These surgeons complete additional fellowship training beyond OB/GYN residency and are vetted by other MIGS specialists through a selective, peer-reviewed process.
This vetting ensures that MIGS surgeons are highly skilled in complex pelvic anatomy, advanced suturing, and organ-preserving techniques—qualities essential for managing diseases like deep infiltrating endometriosis (DIE).
Why MIGS Training Matters in Endometriosis Surgery
Endometriosis can infiltrate beyond the uterus, affecting the bowel, bladder, ureters, rectovaginal septum, and even pelvic nerves. Effective treatment requires more than burning or superficially treating lesions—it demands complete surgical excision with preservation of healthy tissue and surrounding structures.
Only a small percentage of gynecologic surgeons have the training to:
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Fully excise disease from delicate areas like the rectum or ureter
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Perform nerve-sparing surgery to preserve bowel, bladder, and sexual function
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Collaborate with colorectal or urologic specialists in multidisciplinary surgeries
MIGS-trained surgeons are best equipped to meet these standards. Their expertise helps patients achieve meaningful relief, avoid repeat surgeries, and preserve fertility.
Our team sees patients across New York, New Jersey, Los Angeles, Orange County, Miami, and Europe, and regularly collaborates across specialties to ensure safe, effective, and lasting outcomes for our patients.
