Advanced Complex Endometriosis Surgical Experts in the USA

Travel to Los Angeles, Treated Once, Cared for Long After

Patients travel to the Comprehensive Endometriosis Center in Los Angeles because the team performs cutting-edge excision and has sub-specialty depth for complex cases. Serving patients in Las Vegas, Phoenix, Scottsdale and the rest of the United States.

By Raanan Meyer, MD — Director, Comprehensive Endometriosis Center · Fellowship in Minimally Invasive Gynecologic Surgery at Cedars-Sinai

Why patients trust us with their travel

Patients choose to travel to the Comprehensive Endometriosis Center because they want a team that performs excision exclusively, has sub-specialty depth for complex cases, and treats out-of-state surgery as a deliberate program rather than an exception.

Talk to a Patient Coordinator — (310) 388-1955 or request a virtual consultation to get started.

Why patients travel to the Comprehensive Endometriosis Center for excision surgery

For many patients, the closest gynecologist may not always be the right surgeon for endometriosis. True endometriosis expert surgeons who have completed fellowship training in advanced gynecologic surgery and who perform excision (not ablation) as their primary technique — are concentrated in a handful of cities. If you don’t live near one, traveling to one is often the fastest path to lasting relief.

 

We see patients who have spent years cycling through general OBGYNs, pain medications, and incomplete surgeries. The pattern is familiar: a diagnosis comes too late, the first surgery treats only what’s visible on the surface, the disease returns within months, and the trail goes cold. Specialist excision changes that trajectory — and for most patients, getting on a plane is the difference between another year of pain and a real recovery.

This approach not only confirms the diagnosis but also offers therapeutic relief, particularly when performed by a surgeon skilled in excision techniques.

A coordinated path from first call to flight home

— Coordinated Care

How does the out-of-state process work?

Treating out-of-state patients is a process we’ve built deliberately — three stages designed so you never fly in for a “maybe” appointment and never face a surgical decision alone. Each stage answers a specific question: Is surgery the right next step? When and how do you travel? And what happens once you’re home?

01

Virtual consultation

You meet your surgeon by secure video. We review your medical history, symptoms, imaging and prior surgical reports. By the end of the call, you and your surgeon agree on whether surgery is indicated and what the procedure would look like.

02

One-trip surgical coordination

Once you've decided to move forward, our patient coordinator builds a single coordinated trip: pre-operative consultation, surgery day, recovery, and post-operative check. You travel once.

03

Remote follow-up

Your post-op care continues by video and secure messaging once you're home, typically for the first 2–3 weeks post-op. Operative reports, surgical photos, and pathology findings are sent to you and to your local OBGYN or primary care provider so everyone has what they need.

Most patients describe the structure as a relief: every step is mapped out before they book a flight. Our diagnosis journey page walks through what to expect in more depth, and our patient coordinator answers travel questions before you commit to anything.

— Travel Logistics

How long do I need to stay in Los Angeles?

Most out-of-state patients plan for a 3–7-day trip, with arrival the day before the pre-operative consultation and departure once your surgeon has cleared you to fly. The plan is built so you make the trip once — pre-op, surgery, recovery, and final clearance happen in sequence without back-and-forth flights.

Your patient coordinator builds you a day-by-day itinerary before you book travel. The structure is intentional: each day has a clear medical purpose, so you know exactly what’s happening and when. Here’s the typical sequence:

DayWhat happens
Day 1Arrival in Los Angeles. Light evening; no medical appointments. Rest and acclimate.
Day 2Pre-operative consultation with your surgeon. Final imaging review, anesthesia consult, pre-op labs.
Day 3Surgery day. Excision performed laparoscopically or robotically (or by open approach for complex bowel cases per your surgical plan). Recovery begins same day.
Day 4–5Recovery and observation. Daily check-ins with your care team.
Day 6In-person post-operative consultation. Surgeon confirms flight clearance and gives written discharge plan.
Day 7Travel home (subject to surgeon clearance).
  • Companion strongly recommended. Most patients travel with a partner, family member, or close friend who can be present for pre-op and post-op visits.
  • Hotel selection. We can suggest hotels within easy reach of our surgical hospital partner.
  • Medical records to bring. Recent pelvic MRI (digital or CD), prior operative reports, list of current medications.
  • Flight considerations. Aisle seat home; compression stockings on the flight; written travel plan provided by your surgeon.

Our preoperative instructions walk through exactly what to pack and how to prepare in the weeks before your trip.

— Surgical Team —

Who is on your surgical team?

Endometriosis is rarely a single-surgeon disease, especially when the bowel, ureters, or diaphragm are involved. Our team is built so the right sub-specialist is already in the room — you don’t have to coordinate referrals between practices or worry about who will manage what during your case. 

Fellowship-trained at Cedars-Sinai. Focused on precise excision of deeply infiltrating disease, complex hysterectomy, fertility-sparing myomectomy, and advanced hysteroscopy. Patients value his clear explanations and steady, function-preserving approach.

Raanan Meyer, MD

Available for virtual consults

Director, Comprehensive Endometriosis Center; Minimally Invasive Gynecologic Surgery

Moshe Barnajian, MD

Available for virtual consults

Double Board-Certified General & Colorectal Surgeon; Leader in Robotic Surgery

Yosef Nasseri, MD, FACS, FASCRS

Available for virtual consults

Double Board-Certified General & Colorectal Surgeon; Leader in Robotic Surgery

— After Surgery

What happens after I fly home? Remote follow-up and local-provider coordination

Your relationship with our team doesn’t end at the airport. After you fly home, you remain under our post-operative care for the recovery window your surgeon defines — typically the first 2–3 weeks post-op, with structured video check-ins and secure messaging access to our team.

The hand-off to your local providers is a deliberate part of the process. Your full operative report, surgical photographs, pathology findings, and post-op care plan are sent to you and to your local OBGYN or primary care provider, so you and your care team have what you need if you have a question between video visits or if a non-emergency issue comes up.

— Technique Matters

Excision vs ablation — and why the difference matters

This is the single most important question to ask any endometriosis surgeon. Excision surgically removes the diseased tissue at its root — including deep-infiltrating disease that grows below the surface. Ablation burns the surface of visible lesions but leaves disease underneath intact, which is why ablation patients so often see their symptoms return within months.

Our team performs excision exclusively. We focus on removing disease at its root rather than treating only the surface — an approach that matters most in Stage III–IV disease and in patients with prior failed surgeries.

Comparison Excision (what we do) Ablation (what we don’t do)
TechniqueSurgically cuts out the endometriosis tissue at the rootBurns the surface of visible lesions
Depth of disease addressedReaches deep-infiltrating disease, including bowel and diaphragmLimited to superficial lesions only
Performed byFellowship-trained excision specialistsOften performed by general OBGYNs without subspecialty training

If your previous surgery used ablation — or if you’re not sure which technique was used — bring your operative report to your virtual consult. Reviewing prior operative records is a routine part of how we evaluate a case before recommending excision.

— Take the Next Step —

Take the first step toward lasting relief

— Complex Cases

How is deep infiltrating endometriosis treated here?

Deep infiltrating endometriosis is one of the most complex presentations — and it’s the case for which patients fly in most often. Many gynecologic surgical practices have to coordinate an outside colorectal and other specialist referral to handle possible bowel, bladder/urinary tract, uterosacral ligaments, and rectovaginal septum involvement, which adds time, coordination friction, and surgeon-to-surgeon hand-offs during the procedure itself. Our practice does not have that gap. Dr. Yosef Nasseri (MD, FACS, FASCRS) and Dr. Moshe Barnajian (MD) — both double board-certified in general and colorectal surgery — are part of the surgical team for bowel cases. When needed, urologic/thoracic surgeons join the team. Our multi disciplinary team will plan together and operate together.
— Insurance & Coverage

What about insurance, out-of-network benefits, and self-pay?

Most major PPO out-of-network insurance plans cover endometriosis excision surgery, though benefits and patient responsibility vary plan-by-plan. We review your specific benefits during your virtual consultation and walk you through what your plan typically covers, what you’d be responsible for, and how the claims process works. We also accept cash and self-pay patients.

— FAQs —

Frequently Asked Questions

01. Can I have endometriosis surgery in California if I live in another state?
Yes — and many of our patients do. There are no medical or legal restrictions on receiving surgical care in a state other than the one you live in. Our team handles the records transfer, pre-op coordination, and post-op follow-up regardless of your home state, and we work with your local providers to ensure continuity of care once you’re back home.
Your first consultation is always virtual. You meet your surgeon by video, walk through your medical history and imaging together, and decide whether surgery is the right next step — all from home. Only once you and your surgeon agree on a surgical plan do you book your travel, so you never fly in for a “maybe.”
Most patients plan for a stay of 3–7 days, including arrival the day before pre-op consultation, surgery day, recovery, and a final post-op check before flying home. Our patient coordinator builds you a day-by-day itinerary so you know exactly what to expect.
We perform excision — the standard of care for endometriosis. Excision surgically removes the disease at the root, including deep-infiltrating cases. Ablation only burns the surface, which often leaves disease below to grow back. Our team is fellowship-trained in excision technique because superficial treatment rarely produces lasting relief.
Bowel endometriosis is one of the most complex presentations, and it’s a case we take seriously. Our staff includes Dr. Yosef Nasseri and Dr. Moshe Barnajian — both double board-certified general and colorectal surgeons — who are part of the surgical team for bowel cases. You don’t have to coordinate a separate referral to a colorectal specialist — that expertise is already in the room.
Most major out-of-network plans cover endometriosis excision surgery, though specifics vary by plan. We review your benefits during your virtual consult and walk you through what your plan typically covers, what you’d be responsible for, and how the claims process works.
You’ll have a remote post-op check with your surgeon by video typically 2–3 weeks after surgery, plus ongoing access to our team via secure messaging. We send your full operative report, surgical photos, and any follow-up imaging guidance to you, and coordinate with your local OBGYN or primary care provider as well.
Most patients send us their most recent pelvic MRI (CD or digital upload), any prior surgical reports, and a basic health-history form we provide. Our intake coordinator walks you through exactly what’s needed before your appointment — usually 30–60 minutes of paperwork on your end.
You can usually fly home 3–7 days post-surgery. Your surgeon will confirm flight clearance during your final post-op check. Plan to wear compression stockings on the flight, stay hydrated, and move regularly during the trip to reduce thrombosis risk. We give you a written discharge plan with travel guidance specific to your case.