Da Vinci Endometriosis
Resection Surgery
What is endometriosis?3,4
Endometriosis occurs when tissue that’s similar to the uterus lining grows in other places. Like the uterus lining, these tissue patches thicken and break down with your monthly cycle. Because the blood and tissue have no way to leave the body, they can build up and cause irritation, swelling, and scar tissue. Endometriosis tissue may grow near your uterus. When it grows on your ovaries, it can create cysts. It can also appear on your bladder and intestines. In rare cases, endometriosis tissue can grow in distant places in your body.
Common endometriosis symptoms include pelvic pain, sometimes severe, and heavy bleeding during or between periods. Endometriosis can also make it hard to get pregnant.
Relief starts here. Take your life back from endometriosis.

Your health, your choice1-4
The only way to confirm endometriosis is through surgery that let’s your doctor look inside your abdomen.
There is no cure for endometriosis, but surgery that removes endometriosis patches can provide pain relief. Surgeons can remove endometriosis using a traditional open approach or minimally invasive surgery. Open surgery requires an incision (cut) in your lower abdomen long enough for the surgeon to access the organs and use hand-held instruments. Minimally invasive surgery allows your surgeon to remove endometriosis tissue through a few small cuts. There are two main types of minimally invasive endometriosis resection (removal) surgeries: laparoscopic and da Vinci surgery. A laparoscopic endometriosis removal requires a few small incisions for surgeons to insert a laparoscope (camera) and long-handled tools. In da Vinci endometriosis removal, surgeons remove endometriosis tissue using a robotic system with highly magnified 3DHD vision that delivers a crystal-clear view of tissue. The surgeon guides small instruments through a console.

How the da Vinci system works
Surgeons can perform endometriosis resection surgery using da Vinci technology. During a da Vinci endometriosis resection surgery, your surgeon sits at a console next to you and operates using tiny, fully wristed instruments.
A camera provides highly magnified 3DHD vision that delivers a crystal clear view of tissue. The surgeon guides the instruments from a console. Every hand movement your surgeon makes is translated by the da Vinci system in real time to manipulate the instruments with precision.
It’s important to remember that Intuitive does not provide medical advice. After discussing all options with your doctor, only you and your doctor can determine whether surgery with da Vinci technology is appropriate for your situation. You should always ask your surgeon about his or her training, experience, and patient outcomes.
Patient outcomes with da Vinci endometriosis resection
A review of published studies suggests da Vinci endometriosis resection may offer:
- More accurate visualization of confirmed endometriosis tissue compared to a 2D laparoscope5
- Ability for surgeon to complete complex cases6-7
- Low rate of intraoperative complications8
- Low rate of switching to open surgery, which requires a large abdominal incision8
There are additional outcomes of surgery that you may want to talk with your doctor about. Please ask him or her about all important outcomes of surgery. All surgery involves risk. You can read more about associated risks of endometriosis resection surgery here.
Questions you can ask your doctor
- What medical and surgical options are available to address my endometriosis? Which is best for me and why?
- What are the differences between open, laparoscopic, and robotic-assisted surgery?
- Should I get a second opinion?
- What am I likely to experience after surgery?
- If I decide to have surgery, how can I prepare for it?
- Can you tell me about your training and experience with da Vinci robotic-assisted surgery?
- How will I feel after surgery?
Additional resources
Endometriosis surgery brochure
Gynecologic surgery with the da Vinci system
Gynecology surgeons use robotic-assisted surgery with da Vinci technology in many different types of procedures.
- Penzer AJ, Schweikart SJ. Using Policy and Law to Help Reduce Endometriosis Diagnostic Delay. The AMA Journal of Ethics. 2025;27(2):E104-109. doi:https://doi.org/10.1001/amajethics.2025.1040
- U.S. Department of Health and Human Services, Office on Women’s Health. Endometriosis. Published February 22, 2021. Accessed August 2025.
- The American College of Obstetricians and Gynecologists. Endometriosis. ACOG. https://www.acog.org/womens-health/faqs/endometriosis. Published February 2021. Accessed 15 December 2025.
- Eunice Kennedy Shriver National Institute of Child Health and Human Development. Health Topic: Endometriosis, 21 February 2020. Accessed 15 December 2025
- Mosbrucker C, Somani A, Dulemba J. Visualization of endometriosis: comparative study of 3-dimensional robotic and 2-dimensional laparoscopic endoscopes. J Robot Surg. 2018;12(1):59-66. doi:10.1007/s11701-017-0686-0
- Ferrier C, Le Gac M, Kolanska K, et al. Comparison of robot-assisted and conventional laparoscopy for colorectal surgery for endometriosis: a prospective cohort study. Int J Med Robot. 2022; 18(3):e2382. https://doi.org/10.1002/rcs.2382
- Legendri S, Carbonnel M, Feki A, et al. Improvement of Post-Operative Quality of Life in Patients 2 Years after Minimally Invasive Surgery for Pain and Deep Infiltrating Endometriosis. J Clin Med. 2022;11(20):6132. doi:10.3390/jcm11206132
- Results are based on an internal meta-analysis of peer-reviewed literature for robotic-assisted endometriosis resection procedures published between January1, 2010–September 1, 2023. Data on file at Intuitive.