Cutting through the pain: The role of the registered nurse first assistant in endometriosis surgery

Multidisciplinary care for endometriosis often includes surgical diagnosis and management, and within this context, the registered nurse first assistant (RNFA) plays a critical leadership role across the perioperative continuum. Surgical intervention is critical in endometriosis, particularly for individuals with moderate to severe disease and symptoms unresponsive to medical suppression. As integral members of the surgical team, RNFAs are actively involved in preoperative education, surgical preparation, intraoperative coordination, and postsurgical care. Postoperative responsibilities include pain management, monitoring for complications, wound care, discharge planning, and implementing recovery protocols, while promoting adherence and reinforcing long-term care strategies. Beyond clinical tasks, RNFAs also often advocate for equitable access to skilled surgical care and provide vital support during a frequently physically and emotionally demanding experience for patients. By ensuring continuity and consistency throughout the surgical journey, RNFA contributions and leadership are essential not only to a safe operative experience but also to long-term outcomes, including improved quality of life, symptom management, and functional recovery for individuals undergoing surgery for endometriosis. This article outlines key RNFA responsibilities in endometriosis surgery, aiming to strengthen perioperative coordination, patient support, and outcomes.