Endometriosis Surgery: What to Expect Before, During & After

You’ve Tried Everything — Now Your Gynae Recommends Surgery. What’s Next?

For many women, endometriosis is a long, painful journey that starts with being told, “It’s just your period.” And by the time surgery is recommended, it can feel overwhelming. But here’s the truth:

• Surgery isn’t the last resort.
• It can be the breakthrough you’ve been waiting for.

When done right, laparoscopic endometriosis surgery can relieve chronic pain, improve fertility, and dramatically improve quality of life. If you’re exploring endometriosis treatment in Singapore, this guide is for you — breaking down what to expect before, during, and after gynae surgery so you can walk in feeling informed, supported, and empowered. 

Why Endometriosis Surgery May Be Necessary

Endometriosis doesn’t just cause pain — it can damage pelvic organs, interfere with fertility, and reduce your overall wellbeing. While medications can help manage symptoms, they often don’t address the root problem: endometrial-like tissue growing outside the uterus. That’s where surgery comes in.

Types of Endometriosis Surgery:

• Laparoscopic Surgery (Keyhole):
  • The gold standard for diagnosing and treating endometriosis. It’s a minimally invasive surgery that allows your gynaecologist to both identify and remove endometrial tissue and cysts.

• Laparotomy (Open Surgery):
  • Less commonly needed but may be used in complex or advanced cases. 

Before Surgery: How to Prepare

Proper preparation sets the tone for a smooth surgical experience and recovery. Your gynaecologist will guide you through a comprehensive pre-operative process.

Medical Evaluations and Imaging

Your doctor may order:

• Pelvic ultrasound to identify cysts or abnormalities
• MRI to assess the extent of tissue growth
• Blood tests to evaluate overall health and hormone levels

These help map out a surgical plan and assess whether laparoscopy is suitable.

Pre-Op Instructions: What You Need to Know

Before your surgery, you’ll receive clear instructions. These typically include:

• Fasting: No food or drinks 6–8 hours before surgery
• Medications: You may be asked to stop certain medications (e.g., blood thinners)
• Preparation: Arrange for post-op transport, take time off work, and avoid alcohol or smoking prior to surgery

Getting enough rest and mentally preparing for surgery can also make a significant difference.

During Surgery: What Happens in the Operating Room

Understanding what to expect during gynae surgery helps alleviate fear and empowers you to take an active role in your treatment journey.

Procedure Overview: Laparoscopic Endometriosis Surgery

Laparoscopy is a minimally invasive surgery performed under general anaesthesia. The surgeon makes small incisions in the abdomen and inserts a laparoscope — a thin tube with a light and camera — to view the pelvic organs in detail.

Using specialised instruments, the surgeon carefully removes:

• Endometrial implants
• Scar tissue (adhesions)
• Cysts such as endometriomas

The entire procedure typically lasts 1 to 2 hours.

Anaesthesia and Safety

You will be under general anaesthesia, meaning you will be asleep and pain-free throughout. The surgical team will monitor vital signs closely to ensure your safety at every stage.

After Surgery: Recovery and Healing

Post-surgery recovery varies depending on the extent of the procedure, your individual healing response, and overall health. Here’s what you can expect:

• Pain Management and Discomfort: Mild to moderate pain is common in the first few days. You may experience:
  • Abdominal soreness near incision sites
  • Gas pain in the shoulders or chest (from the gas used to inflate the abdomen)
  • Light vaginal spotting

• Activity Levels and Restrictions
  • Day 1–3: Focus on rest. Short walks around your home are encouraged to improve circulation.
  • Week 1: Avoid lifting, driving, or strenuous activity.
  • Weeks 2–4: Gradually return to normal routines. Most women resume work within 1–2 weeks, depending on the job type.

Listen to your body and follow your surgeon’s advice to avoid complications.

• Follow-Up Care: A post-op follow-up is usually scheduled within 7 to 14 days. This allows your doctor to:
  • Check on healing and incision sites
  • Discuss lab results, if biopsies were taken
  • Plan further treatment, such as hormonal management or fertility support

Risks and Benefits of Endometriosis Surgery

No surgery is risk-free, but understanding potential outcomes helps you weigh the benefits.

Most side effects are mild and temporary:

• Fatigue
• Swelling or bruising at incision sites
• Bloating or mild nausea

Rare but serious risks include:

• Infection
• Damage to organs (e.g., bladder or bowel)
• Reaction to anaesthesia

Our experienced team at AOGC follows strict protocols to minimise these risks.

Surgery Is a Step Forward — Not Back

If you’re considering endometriosis treatment in Singapore, surgery might feel daunting. But when performed by experienced specialists, it can be a crucial step toward pain relief, improved fertility, and reclaiming your everyday life.

At AOGC, we combine clinical excellence with genuine compassion. Our approach to laparoscopic endometriosis surgery is rooted in evidence-based care, personalised treatment planning, and clear communication every step of the way.

You are not alone — and you deserve answers, relief, and a treatment plan that truly works.

Ready to Take the First Step?

Book a confidential consultation with AOGC’s specialists to discuss your symptoms, explore surgical options, and take control of your health with confidence.

Contact AOGC, a leading Gynaecology Clinic in Singapore, today to schedule your appointment and begin your recovery journey.