Endometrial ablation is becoming a more popular procedure, and unless appropriate safeguards are taken, more such cases will likely follow."

Surgery is usually performed using either laparotomy the traditional method of performing abdominal or pelvic surgery through an abdominal incision or laparoscopy, which is minimally invasive endoscopic surgery mainly used for the diagnosis of endometriosis.

Few gynecologists are well trained in laparoscopic surgery, The Royal College of Obstetricians and Gynecologists admits in its Information Pamphlet on Endometriosis, which was published in 1994. "Some surgeons have become skilled in destroying the endometriosis with either the laser or cautery during a laparoscopy. A few surgeons are also able to remove endometriotic cysts and divide fibrous adhesions at laparoscopy. There is no doubt that the number of surgeons with these skills will increase over the next few years".

Microsurgery and laser surgery are also being used by some surgeons. As the British Journal of Clinical Practice concluded: "Although their effectiveness remains to be confirmed in controlled clinical trials, they appear to produce good results and are safe in experienced hands".