Endometriosis Excision Surgeon
Dr. Alex Childs, MD
Birmingham, Alabama
At a Glance
Strengths
- Fellowship-trained chronic pelvic pain specialist; gave up obstetrics entirely to focus on pelvic pain
- Performs excision surgery and has a colorectal team available for complex cases
- Endometriosis listed as a top area of focus on practice profile
- Accepts insurance
Worth Knowing
- Pelvic pain specialist first; endometriosis is one of several conditions treated, not the sole focus
- No endo-specific published research found; published work is from residency era and unrelated to endometriosis
- Minimal public presence in the endo community; no social media, no conference presence, no podcast appearances found
- Wait times for new patients have been reported as lengthy; direct referral from another provider may be faster
From the Editor
Dr. Childs gave up general obstetrics to focus entirely on chronic pelvic pain. In a state with very few specialists of any kind, that matters. Endometriosis is a named area of focus and excision surgery is in the toolkit. What is harder to assess is how central endo is to the surgical caseload relative to the broader range of pelvic pain conditions treated here.
The public record is thin on endo-specific detail. There is no endo research, no conference presence in the endo space, and no social presence to speak to surgical philosophy directly. What exists are strong, consistent patient reviews and a clear reputation for taking difficult cases seriously.
For patients in Alabama who need a starting point, this practice is likely the most accessible excision-capable option in the state. Patients with complex or advanced disease, or those specifically seeking an endo-focused excision specialist, should ask direct questions about surgical caseload before committing.
Patient Feedback
Patterns Across Patient Feedback
Endometriosis Focus
Pelvic Pain Specialist With Endometriosis as a Named Focus
Dr. Childs completed a two-year clinical fellowship in chronic pelvic pain and advanced gynecologic laparoscopy and has practiced exclusively in pelvic pain since joining the C. Paul Perry Pelvic Pain Center in 2005. Obstetrics was dropped entirely to focus on pelvic pain patients full time.
Endometriosis is listed as a top area of interest on the practice profile and is described as one of the most common conditions treated in the practice. The scope of the practice is broader than endometriosis alone: interstitial cystitis (a bladder condition that causes pelvic pain), irritable bowel syndrome, pelvic floor muscle pain, vestibulodynia (pain at the entrance to the vagina), and nerve entrapment conditions are all within the treatment scope.
In a 2023 message to a patient community, Dr. Childs described the practice's positioning directly: "I consider myself primarily a pelvic pain specialist and am the first to admit I am not the skilled surgeon that David Redwine is, but I am passionate about taking care of my patients and providing them with the best care possible." Dr. Redwine is a well-known figure in the endometriosis excision community. The statement reflects a candid self-assessment about where this practice sits relative to surgeons who have built their entire focus around endometriosis excision specifically.
Patients whose primary concern is endometriosis, and who are specifically seeking a surgeon with a concentrated excision-focused practice, should ask direct questions about what percentage of the current surgical caseload involves endometriosis.
Surgical Method
Excision Confirmed; Robotic vs. Manual Not Specified
Excision surgery is confirmed across multiple sources, including patient accounts describing excision of endometriosis and adhesions, and a direct statement from Dr. Childs affirming the use of surgical excision in practice. Nancy's Nook also lists excision as the surgical approach used.
No public information was found specifying whether procedures are performed using robotic-assisted or manual laparoscopy, or what factors determine the approach for a given case.
Ask directly
- Do you perform excision, ablation, or both? What factors determine which approach you use?
- Do you use robotic or manual laparoscopy, and does that vary by case?
Other Areas of Specialty
Broad Pelvic Pain Scope Beyond Endometriosis
The practice treats a wide range of pelvic pain conditions. Documented areas include interstitial cystitis, irritable bowel syndrome, pelvic floor muscle dysfunction, vestibulodynia, vaginismus (vaginal muscle spasms that prevent intercourse), nerve entrapment from prior surgical incisions, and musculoskeletal causes of pelvic pain. Pelvic floor physical therapy and trigger point injections are incorporated into the treatment approach alongside surgical options.
Multidisciplinary Approach
Colorectal Team Available; Pelvic Floor PT Integrated
Nancy's Nook notes that a colorectal team is available when needed for complex cases. No further detail on how that coordination is structured was found in public sources.
Pelvic floor physical therapy is a documented part of the treatment approach. Dr. Childs has described identifying musculoskeletal causes of pelvic pain as something other practitioners often miss, and physical therapy is used as a treatment in the practice. One patient account describes becoming pain-free in three months through a physical therapist referral, without surgery or medication.
No public information was found on referral relationships with urological or thoracic surgical teams.
Ask directly
- Do you work with colorectal, urological, or thoracic surgeons for complex cases, and how is that coordinated?
Diagnosis Methods
Extensive Initial Evaluation; Ultrasound Used in Office
Initial consultations are described as taking an hour or longer. The process includes a detailed patient history, review of prior records including imaging and surgical reports, and previous treatment history. An ultrasound is frequently performed during the first visit. The physical examination covers the abdomen, gynecological organs, and abdominal and pelvic muscles, with attention to musculoskeletal contributors to pain that other providers may not evaluate.
No public information was found specifically addressing whether a negative ultrasound or MRI is considered sufficient to rule out endometriosis, or what the diagnostic philosophy is for patients who have never had surgery.
Ask directly
- Do you consider a negative ultrasound or MRI sufficient to rule out endometriosis?
- What is your process for diagnosing endometriosis in a patient who has never had surgery?
Educational Presence
Limited Public Presence in the Endometriosis Community
No endo-specific published research was found. The practice biography states that Dr. Childs has published over a dozen articles and presented numerous lectures in the field of obstetrics and gynecology, but all confirmed publications identified are from the residency and fellowship era (2005 to 2006) and none are related to endometriosis. Topics include gynecologic oncology, obstetrics, and case reports unrelated to pelvic pain or endometriosis.
No conference presentations in the endometriosis space were found. No records were identified at AAGL (American Association of Gynecologic Laparoscopists), the Society of Reproductive Surgeons, or the World Endometriosis Society.
No personal social media accounts were found. No podcast appearances or published interviews in the endometriosis space were identified. A short introductory video produced by Brookwood Baptist Medical Center in 2020 is publicly available on YouTube; this is institution-produced content, not surgeon-run.
A 2016 profile in Birmingham Medical News covers Dr. Childs' pelvic pain practice and approach to patient care. This is the only substantive media piece identified in the public record.
Post-Surgical Care
No Public Information Found
No public information was found on post-surgical follow-up structure, timeline, duration of ongoing care, or whether Dr. Childs or another member of the team sees patients at follow-up appointments. No public statements were found on the use of hormonal treatment or birth control after surgery.
Ask directly
- Do you see patients personally at follow-up appointments, or does someone else from your team?
- How soon after surgery is the first follow-up appointment?
- For how long do you continue to see patients after surgery?
- Do you recommend hormonal treatment or birth control after surgery, and what is your reasoning?
Philosophy and Fit
Complex Cases Welcome; Referral Network Acknowledged
Dr. Childs has described a practice built around patients who have already seen multiple providers without resolution, noting that most patients arrive having seen four to six other practitioners. The practice is structured to accommodate time-intensive cases: no obstetrics, hour-plus initial consultations, and a focus on identifying all contributing sources of pain rather than a single diagnosis.
In public statements, Dr. Childs has described referring patients with more complex surgical needs to other excision specialists, including practices in Atlanta and surgeons in the broader region. This suggests an awareness of the spectrum of excision expertise and a willingness to direct patients appropriately when the case exceeds the scope of the practice.
Dr. Childs holds a pro-life position, which has been noted in patient community discussions. Patients for whom this is relevant to their care should ask directly about how it applies in practice.
No public information was found on how fertility preservation specifically shapes the surgical approach, or how adenomyosis (a related condition where tissue similar to the uterine lining grows into the uterine wall) is handled in patients who want to preserve fertility.
Ask directly
- What percentage of your surgical cases involve endometriosis?
- Do you treat patients who want to preserve fertility, and how does that affect your surgical approach?
- If adenomyosis is found during surgery, how do you handle that in a patient who wants to preserve fertility?
Sources
- Alabama Center for Urogynecology and Pelvic Pain - Dr. Alex Childs provider profile
- OB-GYN South - Dr. Alex Childs provider profile and patient reviews
- Together Women's Health - Dr. Alex Childs provider profile and patient reviews
- Birmingham Medical News - "Pelvic Pain Specialist Helps Restore Women's Lives" (2016)
- YouTube - "Meet Dr. Alex Childs, Pelvic Pain Specialist," Brookwood Baptist Medical Center (2020)
- Facebook - OB-GYN South, endometriosis treatment video featuring Dr. Childs
- Healthgrades - patient reviews for Dr. Alex Childs
- Vitals - patient reviews for Dr. Alex Childs
- RateMDs - patient reviews for Dr. Alex Childs
- WebMD Care - patient reviews for Dr. Alex Childs
- Medical News Today - Dr. Alex Childs provider listing (insurance information)
- Nancy's Nook Endometriosis Education and Awareness - surgeon listing
- Reddit - patient community discussions referencing Dr. Alex Childs