A Prototypical Shift Back to the Original Role of Surgery for Endometriosis in Specialized Centres in Experienced Hands

In the last couple of decades with the modernization of newer instrumentation as well as surgical procedures there has been a rekindled interest in a field of Reproductive Surgery to which obituary had been paid with the advent of assisted reproductive technology (ART) as well as invitro fertilization (IVF). During that time period we were sceptical of Surgery for endometriosis due to surgery performed by incompetent surgeons leading to depletion of ovarian reserve with lowered markers of ovarian reserve for instance- anti mullerian hormone (AMH) as well as antral follicles counts(AFC).Nevertheless worldwide thre is switch towards greater training of reproductive endocrinology &Infertility specialists(REI) personnel in minimally invasive surgical strategies of endometriosis along with need for them to train the coming generations of REI so that with surgery performed by reproductive surgeons shaving expertise in addition to experience the chance of recurrent surgery dwindles & might even avoid need for ART in those desiring fertility. Even if future fertility is not the question REI’s experienced with needling procedures can perform sclerosing therapies which even aid in conception in those who might not have accessibility to a specialized endometriosis centre.