Meet Our Specialists
Dr. Smeet Patel
MS (Obstetrics & Gynaecology), Fellowship in Minimal Access Surgery | Endometriosis Specialist. Performs complex surgery, including supra-major procedures for deep infiltrating endometriosis. Dr Smeet has also developed the rule of M, Butterfly peritonectomy, Ureteric Dissection, 5 Steps of Ureterolysis. He is sought out by patients from Gujarat, India, and over 26 countries, including Canada, the USA, Europe, and the Middle East, for complex cases that have not been resolved elsewhere.
Dr. Sanjay Patel
Senior Endometriosis & Gynaecological Surgeon | Endometriosis Specialist, Architect of the Adenomyomectomy & Butterfly Peritonectomytechnique and Mayflower's M.E. Protocol. Two decades of surgical experience in complex endometriosis, including cases involving the bowel, bladder, ureter and diaphragm.
Dr. Lakshman Khiria
Senior Consultant GI & Hepatobiliary Surgeon Dr. Lakshman is part of the surgical team, so bowel and GI endometriosis can be managed within a single procedure where appropriate, without separate referrals or additional admissions.
Core Offerings for International Patients
Comprehensive Excision Surgery
The extent to which disease is removed matters in endometriosis surgery. At Mayflower, our surgeons excise endometriosis rather than ablating it, as excision is associated with a lower chance of symptoms returning.
Our surgical team handles every stage of deep infiltrating endometriosis in a single surgical admission, including bowel, bladder, ureteric, and diaphragmatic disease. You do not need multiple surgeons, multiple hospitals, or multiple trips.
For international patients who have had unsuccessful surgery elsewhere, we conduct a comprehensive pre-surgical review of your prior operative reports and imaging before you travel. You know exactly what to expect before you book your flight.
Book Now
Minimally Invasive Techniques
Minimally invasive, ensuring less pain, faster recovery, and safe return travel schedules for international patients.
Book Now
Endometriosis Treatment Packages
We offer endometriosis treatment packages in India covering diagnosis, surgery, accommodation, nursing and recovery care, with costs explained in advance.
Book Now
Transparent Cost & Pre-Travel Planning
Before you travel, our doctors review your medical records and create a personalised treatment plan, including an estimated endometriosis surgery cost in India. This helps you make informed decisions and prepare financially with confidence.
Book Now
Seamless Medical Tourism Support
Our international desk assists with medical visas for endometriosis treatment in India, airport transfers, language support, and teleconsultations after you return home. Every detail of your journey is taken care of, so you can focus on healing.
Mayflower combines surgical care with practical support for patients travelling for endometriosis surgery.
Book NowGet In Touch
Our Approach to Endometriosis Surgery
The Mayflower Endometriosis (M.E.) Protocol
The M.E. Protocol is a structured, pre-surgical framework that maps each organ system before the first incision. It is designed to help surgeons plan thoroughly, manage operative time and reduce the risk of complications, which matters for international patients who want to avoid repeat surgery.
Innovation to Action
The Butterfly Peritonectomy, the Rule of M and the 5 Steps of Ureterolysis were developed and refined at Mayflower. They are the protocols our surgeons use for complex endometriosis, including cases that patients have been told are difficult to operate on elsewhere.
Extensive Experience
Mayflower has offered laparoscopic surgery for endometriosis for over 22 years and treats complex DIE cases referred from across India and abroad.
Multi-Specialty Care
Endometriosis is not a single-organ disease. When it involves the bowel, a GI surgeon is needed. When it involves the ureter, a team trained in urological endometriosis is needed. At Mayflower, our surgical team for complex DIE includes endometriosis specialists, GI surgeons and uro-surgeons working together in a single procedure.
Accreditations & Recognition
Surgical Techniques Used for Complex Endometriosis
The techniques we use at Mayflower are specifically suited to international patients, because complete disease removal in a single procedure is not a preference when you are travelling from abroad. It is a necessity.
Butterfly Peritonectomy
A Mayflower technique for severe or recurrent endometriosis. Rather than removing visible lesions alone, the Butterfly Peritonectomy removes the affected peritoneal area in a butterfly-shaped excision, with the aim of addressing microscopic disease.
Book Now
Ureteric Dissection - 5 Steps of Ureterolysis
When endometriosis spreads to the urinary system and grows around the ureters, surgery needs particular care. Our 5-step ureterolysis protocol helps Mayflower surgeons free the ureters from surrounding endometriotic tissue while protecting kidney function.
Book Now
Rule of M
A structured surgical map of the pelvic sites where endometriosis can lodge. Surgeons follow a defined M-shaped pathway through the pelvis, so deep lesions next to the bowel are systematically looked for and treated.
Book Now
Minimally Invasive Surgery
All our techniques are performed laparoscopically, wherever possible, with smaller incisions, less blood loss, faster recovery, and a more predictable return-to-travel timeline for international patients.
Book NowYour Patient Journey with Mayflower
We have designed this process around one reality you are managing this from another country, in a different time zone, possibly in a different language. Every step is built to remove that friction, from your first online consultation to your post-surgery follow-up from home.
Enquiry & Consultation
Start with a thorough health screening and get a personalised treatment plan
Support
Personal buddy is assigned to handle all medical, and emotional needs, from scheduling your surgery to travel coordination
International Patients
Get assistance with visa, airport pickups, and accommodation, including 21 days of stay for a comfortable treatment experience
Screening
Ensuring patient readiness through a quick health check-up
Pre-operative Counselling
Get in touch with the surgeon to address any queries
Surgery
Recover quickly with our efficient techniques like minimally invasive treatments
Accommodation
Stay at luxurious hotels like Hyatt, Marriott along with Mayflower's suite options for an at-home environment
Post-Surgery Wellness
Enjoy post wellness activities and regular follow-ups to ensure smooth recovery
Safe Return
Ensuring your safe journey back home, from dropping you to the airport to providing ongoing care
Comprehensive Inclusions for International Endometriosis Patients
When you are travelling abroad for surgery, transparency matters. At Mayflower, our endometriosis treatment packages in India are designed to give you clarity about what is included, both medically and logistically, before you decide to travel.
Clinical care pathway
- Pre-travel video consultation and full case review with your surgeon, before you book your flights
- Initial in-person consultation with your surgeon on arrival in Ahmedabad
- Complete diagnostic workup, including specialist ultrasound, MRI, chest X-ray, ECG, and full blood panel
- Laparoscopic endometriosis excision surgery, planned according to your case. Supported by a multidisciplinary peri-operative team including physicians, dieticians, physiotherapists, counsellors and reproductive medicine specialists.
- Anaesthesia, nursing care, and all peri-operative medications
- Histopathology and laboratory analysis of excised tissue to confirm complete disease removal
- Post-surgery physiotherapy and recovery consultation before discharge
- Teleconsultation follow-up after you return home, so your care does not end at the airport
Non-clinical support, also included:
- Dedicated case manager to assist with documentation and medical visa for endometriosis treatment in India
- Assistance with hotel transfers throughout your stay
- Executive room accommodation with modern amenities for patient comfort during recovery
- Optional add-ons translator services, attendant meals, extended stay coordination, and sightseeing support for companions travelling with you
Travelling to Mayflower for Treatment
We combine clinical care with logistical support to make endometriosis treatment abroad more manageable. Every international patient receives a transparent care plan and a single point of contact, from first enquiry to follow-up after returning home.
Advancing Patient's Experience
Mayflower's Method of Treating Endometriosis
Extensive Diagnosis
Before any surgery is planned, we map your disease carefully. At Mayflower, specialist endometriosis ultrasound and MRI are interpreted by radiologists experienced in deep infiltrating disease, including bowel, bladder and ureteric involvement that general imaging can miss. For international patients, this step can be partly completed before travel, giving you a surgical plan before you arrive in Ahmedabad.
Meticulous Surgical Precision
Every procedure at Mayflower is guided by the M.E. Protocol, a structured pre-surgical map that accounts for each area of potential disease before the first incision. The aim is thorough excision rather than partial treatment, to reduce the chance of further surgery.
Multidisciplinary Team Approach
For complex DIE involving the bowel or urinary tract, our surgical team includes endometriosis specialists, a GI surgeon and uro-surgeons operating together in one procedure. This coordination aims to reduce operating time and avoid separate admissions, which helps the surgery fit within your travel window.
Perioperative & Post-Return Care
Your recovery begins in the operating theatre and continues long after you fly home. We manage pain carefully from the moment you wake up, provide physiotherapy before discharge, and maintain teleconsultation follow-up after your return. We also communicate with your local gynaecologist if required, ensuring continuity of care wherever you are in the world.
Rapid and Meaningful Adoption of Technology
Stroz 3d vision solutions
Storz 3D Vision Solutions is a game-changer for the surgeons to give depth perception during minimally invasive surgeries, laparoscopic procedures, and endoscopic interventions.
GE Carestation 600
The GE Carestation 600 provides monitoring and control of vital signs, gas delivery, and anaesthesia levels, ensuring that patients are in a stable condition during surgery.
hd1000i harmonic scalpel
It is a valuable tool in various surgical specialties, like, general surgery, gynaecology, urology, and more. uses ultrasonic technology to achieve efficient tissue dissection while minimising blood loss & damage to surrounding tissues.
Sterrad
STERRAD is driving the rapid and meaningful adoption of technology by providing a safe and effective method for sterilizing medical instruments and ensuring patient safety.
Frequently Asked Questions
Surgery is generally recommended when hormonal treatments have failed to control your symptoms, your pain significantly impacts your quality of life, endometriosis is affecting your fertility, or imaging suggests deep infiltrating disease involving the bowel, bladder, or ureter. If you have had a previous surgery and your symptoms have returned, excision surgery at a specialist centre, rather than repeat ablation, is strongly worth considering. Share your reports with us for a consultation.
Excision, the surgical removal of endometriotic tissue, is associated with better long term symptom control and lower recurrence in published studies. Ablation burns the surface of lesions but may leave deeper disease behind, which is why recurrence after ablation can be higher. At Mayflower, our surgeons perform excision surgery, guided by the Butterfly Peritonectomy and Rule of M protocols.
The cost of endometriosis surgery at Mayflower depends on the stage and complexity of your disease, for example whether bowel resection, ureteric dissection or additional procedures are required. We provide a transparent, itemised cost estimate after reviewing your medical reports, before you commit to travelling.
Yes, many women travel for this surgery. Endometriosis surgery does not usually require a long hospital stay, and most patients are discharged within two to three days. We recommend remaining in Ahmedabad for approximately seven to ten days after surgery before flying, to allow for initial recovery and any required follow-up. We provide travel planning guidance as part of your treatment package.
Mayflower's international package covers your pre-travel consultation, diagnostic workup, surgery, anaesthesia, nursing care, post-operative physiotherapy, and teleconsultation follow-up after you return home. Non-clinical support includes a dedicated case manager, medical visa assistance, and optional add-ons such as airport transfers, executive room accommodation, translator services, attendant meals, extended-stay coordination, and sightseeing support for companions. Your single point of contact manages all of this from your first enquiry through to discharge and beyond.
Most international patients plan for approximately 10 to 14 days in Ahmedabad. This covers arrival consultation and pre-surgical workup (2 to 3 days), surgery and hospital stay (~3 days), and initial recovery before flying (5 to 7 days). We provide a personalised timeline after reviewing your case.
India, including Mayflower, offers treatment for deep infiltrating endometriosis, including cases involving the bowel, bladder, ureter and diaphragm. Our multidisciplinary team can manage complex DIE in a single procedure where this is clinically appropriate.
Take the Next Step in Your Care
Living with endometriosis does not have to mean living in constant pain, accepting failed treatments, or being told there is nothing more that can be done. Women from Canada, the UK, the US and over 26 countries have travelled to Mayflower and found the lasting relief they were searching for.
Book online consultation and share your reports with us. We will review your case, give you a personalised surgical plan, and provide a transparent cost estimate, before you make any decision about travelling. There is no obligation. Just clarity.