Episode # 114 • 28 Apr 2026
Endometriosis Surgery Techniques & Challenges
Imaging, incisions, and Instagram: Dr. Ramirez on the cutting edge of endometriosis management. In this episode of BackTable OBGYN, host Dr. Mark Hoffman interviews Atlanta-based Complex Benign Gynecology (CBG/MIGS) surgeon Dr. Laura Ramirez about how her practice has shifted toward predominantly endometriosis care, driven in part by social media referrals bringing patients nationwide.
Timestamps
00:57 - Introduction
02:22 - Mentorship Mission and Career Focus
06:13 - Social Media Referrals
08:10 - What Is Endo Surgery and Targeted Excision
13:27 - Multidisciplinary Care
16:53 - Lesions and Adhesions Approach
22:20 - Imaging and Case Triage
24:07 - Hysterectomy Expectations
27:28 - Going Solo on Bowel Endo
31:25 - Team Support and Mentors
34:27- Residency Training Gaps
40:39 - Call for Help Culture
43:07 - Challenging Surgeries
48:10 - Noninvasive Tests and Therapy Limits
51:26 - Conclusion
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More about this episode
Dr. Ramirez discusses why endometriosis surgery varies by patient, pathology, and surgeon experience. She emphasizes careful symptom-based assessment, recognizing atypical lesions, and setting realistic expectations. The conversation contrasts radical peritoneal stripping with her preference for targeted excision to reduce complications, highlights multidisciplinary management for central sensitization and overlapping bowel/bladder symptoms, and covers imaging triage, robotic vs. laparoscopic approaches, collaborating with colorectal specialists, and diaphragmatic endometriosis as an ongoing surgical challenge.
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