Endometriosis, Surgery, and What Comes Next: Insights from Dr Dan Krishnan
Navigating endometriosis can feel overwhelming. From symptoms and diagnosis through to surgery and recovery, many people describe feeling uncertain about what to expect and how to move forward.
In this conversation, Dr Dan Krishnan (EndoGynaecologist, Complex Pelvic Surgeon at Inner West Women’s and Children) shares practical, reassuring insights into how surgery fits into the broader journey of endometriosis care, and what really matters for recovery. This conversation took place at the recent Annual Scientific Meeting for the AGES Society in Auckland, New Zealand.
Surgery Is a Step, Not the Whole Solution
One of the most important messages is that surgery is not a “quick fix” for endometriosis.
While laparoscopic surgery can play a valuable role in:
Confirming a diagnosis
Removing visible endometrial-like tissue
Improving certain symptoms
…it is just one part of a broader care journey.
Endometriosis is a complex condition involving inflammation, the nervous system, and sometimes other systems like the bowel or bladder. Because of this, support before after surgery is often just as important as the procedure itself.
Why the Lead-Up to Surgery Matters
Preparation before surgery is often overlooked, but it can make a meaningful difference.
People who feel:
Informed about what to expect
Supported emotionally
Physically prepared
tend to have a smoother overall experience.
This might include:
Understanding the procedure and recovery timeline
Managing expectations around pain and healing
Building simple routines around movement, sleep, and nutrition
Even small steps in the weeks before surgery can help reduce anxiety and improve confidence going into the operation.
Recovery Is Not Always Linear
A key theme highlighted is that recovery after endometriosis surgery can vary significantly between individuals.
Some people may feel better relatively quickly, while others might experience:
Ongoing or fluctuating pain
Fatigue
Emotional ups and downs
Importantly, pain after surgery does not necessarily mean the surgery has failed.
Recovery often involves:
Gradual reintroduction of movement
Supporting the nervous system
Addressing pelvic floor function
Ongoing input from a multidisciplinary team
Understanding this can help reduce fear and frustration during the healing process.
The Role of a Multidisciplinary Approach
Endometriosis care works best when it is not managed in isolation.
Dr Krishnan emphasises the value of a team-based approach, which may include:
Gynaecologists
Pelvic physiotherapists
Pain specialists
Dietitians
Psychologists
Each plays a role in supporting different aspects of recovery, from physical healing to pain management and mental wellbeing.
This kind of approach recognises that endometriosis is not just a surgical condition, but a whole-person experience.
Feeling Supported Makes a Difference
One of the most consistent themes from people with endometriosis is the importance of feeling:
Heard
Validated
Supported throughout the process
Simple things like:
Knowing what is “normal” after surgery
Having access to reliable information
Connecting with others who understand
can significantly improve the overall experience.
Key Takeaways
Surgery can be helpful, but it is only one part of endometriosis care
Preparing for surgery can improve both experience and recovery
Recovery is individual and not always straightforward
Ongoing, multidisciplinary support is often essential
Feeling informed and supported can make a meaningful difference
A Final Thought
If you are preparing for surgery or recovering from it, it is okay to have questions, uncertainty, or mixed emotions.
Endometriosis care is evolving, and there is growing recognition that people need support before, during, and after surgery.
You are not expected to navigate this alone.
Learn more about our endometriosis surgery support program.
Or, see the research the Matilda program was built on here: www.matilda.health/research-and-funding