A lot of the work that happens on this newsletter every week is focused on the act of doing. What surgery will we perform to remove endometriosis? What techniques can we use to restore anatomy? How do we approach deep infiltrating disease? And important as it might be to know what to do, it’s sometimes even more important to know what not to do. Not every pelvic pain needs surgery. Not every endometrioma requires excision. Not every adhesion needs to be lysed. The best surgeries are often the ones we avoid—because surgical restraint isn’t a failure of courage; it’s a mark of wisdom. If you’re considering endometriosis surgery, understanding when conservative management is the better path could save you from unnecessary risks, complications, and disappointing outcomes. Sometimes, the most powerful decision is choosing to wait, watch, and treat differently. Read more