What is Endometriosis?
Endometriosis is a condition where tissue similar to the lining of the uterus begins to grow outside it - on the ovaries, fallopian tubes, bowel, bladder, or even the ureter. Every month, this tissue responds to your hormonal cycle just like the uterine lining does. It swells. It bleeds. But because it has nowhere to go, it causes inflammation, scarring, and, over time, severe pain.
The disease is chronic. Left untreated, it can affect fertility, disrupt daily life, and cause serious pelvic damage. But here is what most women are not told with the right specialist, endometriosis is highly treatable, and recurrence is preventable.
Do You Recognise These Symptoms?
Endometriosis does not look the same in every woman. Some have agonising pain. Others have almost none, yet still have severe disease internally. Watch for:
- Painful, heavy, or irregular periods that disrupt your daily life
- Pelvic pain that does not go away even outside your cycle
- Pain during or after sex
- Difficulty getting pregnant or unexplained infertility
- Painful bowel movements or urination around your period
- Chronic fatigue, bloating, or lower back pain
- Symptoms that worsen over time despite medication
If you have been experiencing any of these ; especially for more than six months ; a specialist evaluation is not optional. It is essential.
Why Women from Across India & Over 26 Countries Choose Mayflower
Mayflower Women's Hospital is not a general gynaecology clinic that also treats endometriosis. It is a dedicated centre of surgical excellence - where our endometriosis specialists have collectively performed over 8,000 surgeries, including some of the most complex deep infiltrating endometriosis cases in India.
What sets us apart is not just skill - it is outcome. Our recurrence rate is less than 2%. The global average is 40%.
That difference comes from surgical precision, the right technique, and a protocol that leaves nothing behind.
At a glance:
- 85,000+ endometriosis surgeries performed
- Less than 2% recurrence rate
- Trusted by patients from across Gujarat, India, and over 26+ countries, including the UK, USA, Australia, UAE and Canada
- Specialists trained in deep infiltrating endometriosis, fertility preservation, and complex pelvic surgery
Our Surgical Techniques Built for Complete, Lasting Relief
Butterfly Peritonectomy
The Butterfly Peritonectomy is Mayflower's signature surgical technique for severe or recurrent endometriosis. Developed and refined at our hospital, it involves the complete removal of the diseased peritoneal tissue in a targeted, butterfly-shaped area of the pelvis.
Unlike standard laparoscopy, which removes only visible lesions, the Butterfly Peritonectomy addresses microscopic disease that cannot be seen with the naked eye, which is the primary reason endometriosis comes back after conventional surgery. Our less than 2% recurrence rate is a direct result of this approach.
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Laparoscopic Excision Surgery
Minimally invasive, precisely targeted, and effective for mild-to-moderate endometriosis using best-in-class equipment which allows faster recovery. Our surgeons use advanced laparoscopy to excise endometriotic lesions from the ovaries, uterus, bowel, and surrounding structures - with small incisions, faster recovery, and significantly reduced scarring.
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Adenomyomectomy
When endometriosis co-exists with adenomyosis - where the uterine lining grows into the muscle wall - adenomyomectomy allows our surgeons to remove the abnormal growths while preserving the uterus wherever possible. This is especially important for women who wish to conceive after surgery.
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Ureteric Dissection for Endometriosis
In advanced cases, endometriosis can grow around the ureters - the tubes connecting the kidneys to the bladder. This requires highly specialised surgical skill to remove the disease without damaging urinary function. Mayflower's endometriosis surgeons are trained in meticulous ureteric dissection to protect kidney health while achieving complete disease removal.
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The Rule of M
The Rule of M is a structured surgical protocol developed at Mayflower that maps out every pelvic site where endometriosis can hide. Surgeons follow a systematic M-shaped pathway through the pelvis, ensuring that deep lesions and hidden disease - especially near the large intestine - are found and treated. No site is left unchecked.
Book NowEndometriosis & Fertility - There Is Hope
One of the most common fears women bring to us is this, "Has endometriosis taken away my chance to have a child?"
The answer, in most cases, is no - but timing and the right specialist matter enormously.
At Mayflower, our endometriosis surgeons work closely with our fertility team. We have done 20,000+ fertility enhancing surgeries. For many women, surgical removal of endometriotic tissue dramatically improves the chances of natural conception. For others, we combine surgery with IVF to achieve the best outcome. Women who have had failed IVF elsewhere have come to Mayflower, had their endometriosis treated first, and gone on to have healthy pregnancies.
We will assess your fertility goals from your very first consultation and design a plan that gives you the best possible chance.
Meet Our Endometriosis Specialists
Dr. Smeet Patel
Dr. Sanjay Patel
Dr. Lakshman Khiria
What to Expect at Your Consultation
We believe the consultation is where healing begins. Here is what happens when you come to Mayflower:
Your Story First
We listen. Your symptoms, your history, your fertility goals, your fears. Nothing is dismissed.
Targeted Diagnosis
Depending on your symptoms, we recommend the most appropriate imaging ; ultrasound, MRI, or diagnostic laparoscopy ; to understand the extent of your condition before any decision is made.
A Plan Built for You
No two women are the same. Your treatment plan ; whether medical management, surgery, fertility-focused care, or a combination ; is designed specifically for your situation.
Surgery & Recovery
If surgery is the right path, our team prepares you thoroughly, performs with precision, and supports your recovery every step of the way.
Long-Term Follow-Up
We monitor your progress, manage recurrence prevention, and remain your medical partner ; not just your surgeon.
For International Patients
Women have travelled from over 26 countries, including Canada, the UK, USA, Australia, UAE, Singapore, Bangladesh, etc. have their endometriosis treated at Mayflower. Our international patient services make the journey as seamless as possible:
- Pre-arrival video consultation with your specialist
- Personalised treatment plan and cost estimate before you travel
- Visa guidance and documentation support
- Airport transfers, interpreter services, and accommodation guidance
- Post-surgery remote monitoring via telehealth and WhatsApp
If you are searching for endometriosis surgery in India as an international patient, we are the team most equipped to help you.
Frequently Asked Questions
For mild endometriosis, hormonal therapy - including birth control pills, GnRH agonists, or progesterone - can manage symptoms effectively. For moderate to severe cases, or when fertility is affected, laparoscopic excision surgery is the gold standard. At Mayflower, we assess each case individually and recommend the most appropriate treatment path. Surgery at our centre is guided by the Butterfly Peritonectomy and Rule of M protocols for complete disease removal.
Standard laparoscopy removes only the visible endometriotic lesions. The Butterfly Peritonectomy, developed at Mayflower, removes the entire diseased peritoneal lining in the pelvic area - including microscopic deposits that cause recurrence. This is why our recurrence rate is less than 2%, compared to the global average of 40%. It is a more comprehensive surgical approach that offers lasting relief.
Endometriosis cannot be "cured" in the conventional sense, but it can be treated to the point where symptoms resolve completely, fertility is restored, and long-term recurrence is prevented. At Mayflower, our surgical protocols are specifically designed to achieve complete disease clearance. Less than 2% of our patients experience recurrence after surgery.
The cost of endometriosis surgery at Mayflower depends on the stage of the disease, the specific surgical technique required, and whether additional procedures such as fertility treatment are needed. Costs are significantly lower in India compared to the UK, USA, or UAE . We provide a transparent, itemised cost estimate after your initial consultation.
Most women who undergo laparoscopic excision surgery at Mayflower are discharged within 3 days and resume light activity within one to two weeks. A full return to work typically takes two to four weeks, depending on the complexity of surgery. Your surgeon will give you a personalised recovery plan at your pre-operative consultation.
Yes, many women conceive naturally after endometriosis surgery at Mayflower. The surgery removes endometriotic tissue that may have been blocking the fallopian tubes, damaging the ovaries, or creating an inflammatory environment hostile to implantation. For women with advanced disease or additional fertility factors, we work alongside our IVF team to create the best path to pregnancy.
Our observed recurrence rate is less than 2%. The global average recurrence rate for endometriosis after conventional surgery is around 40%. Our results are achieved through complete excision using the Butterfly Peritonectomy, Rule of M surgical protocol, and structured post-operative monitoring.
Yes - we regularly treat patients from over 26 countries, including Canada, the UK, USA, Australia, UAE, Singapore, etc. Our international patient desk handles your entire journey from the first online consultation to post-surgery follow-up from home. Write to us at care@mayflowerhospital.com or call +91 6352 800 850.
Ready to take the first step?
Whether you are in Ahmedabad, elsewhere in India, or reaching out from abroad ; our endometriosis specialists are here to listen, assess, and guide you.