Endometriosis Excision Surgeon

Dr. Francisco Garcini

Tucson, Arizona

At a Glance

Strengths

  • Listed on Nancy's Nook with consistently positive feedback across multiple years
  • Endometriosis treatment is listed as a primary and high-frequency focus on Healthgrades, where it appears as much more than similar providers
  • Co-authored a published case report on robot-assisted endo excision involving ureteral repair, confirming experience with complex anatomy
  • Patient accounts across platforms and years consistently describe a surgeon who listens, takes time, and takes concerns seriously, including in younger patients and complex cases
  • Presented in the Spanish Language session of the 2025 Endometriosis Summit; identified as bilingual in English and Spanish

Worth Knowing

  • No documented endo-specific or MIGS fellowship training; trained through OB/GYN residency only. This is different from surgeons who completed a fellowship under a known excision specialist
  • In a 2022 public video, Dr. Garcini stated a preference for delivering babies over managing long-term chronic conditions "without an easy fix." Patients with complex or long-term endo should be aware of this statement before booking
  • Negative complaints across multiple platforms include serious surgical outcome concerns, infected incisions requiring ER care, and no follow-up after complications
  • Multiple reviewers note unreliable staff communication, including unanswered calls and prescription errors
  • Available public information skews toward general gynecology; patients will need to ask extra questions to evaluate fit for complex endo

From the Editor

Dr. Garcini describes himself on multiple platforms as a minimally invasive gynecologic and endometriosis surgeon, and the data supports that endometriosis is a genuine focus of the practice. Healthgrades rates endo treatment frequency as much higher than similar providers, and patient accounts from Nancy's Nook, Reddit, and Vitals across multiple years include specific endo surgery reports with positive outcomes. That evidence is what earned inclusion here.

What is harder to sort out is everything else. The public record includes a significant amount of general gynecology work. A 2022 video in which Dr. Garcini describes preferring to deliver babies over managing chronic conditions without an easy fix is worth sitting with. Patients with complex, recurring, or long-term disease benefit from a surgeon who is oriented toward that work.

The negative feedback in this profile is more serious than typical. A near-fatal surgical complication reported on Yelp from the Illinois era, multiple accounts of surgical outcomes the patient describes as harmful, and a post-surgical care pattern of limited follow-up each appear from independent sources. These are included because patients deserve to read them. The positive accounts are also real and consistent. What a patient makes of that combination is their call to make.

Patient Feedback

Patterns Across Patient Feedback


Positive pattern

Mixed or notable

Recurring concern

A strong and consistent pattern of attentiveness, patience, and taking patient concerns seriously appears across Nancy's Nook, Vitals, Healthgrades, Reddit, and RateMDs spanning multiple years and two states. Accounts describe appointments that were not rushed, thorough explanations, and a surgeon who listened when others had not. Several accounts specifically note that concerns were taken seriously despite the patient being young. This pattern holds across both the Illinois and Tucson eras.

Multiple accounts describe positive excision surgery outcomes, including stage 3 and stage 4 disease, bilateral endometriomas, extensive adhesions, and sciatic nerve involvement. Accounts on Nancy's Nook from 2019, 2021, and 2025 describe relief from pain, reduction in symptoms, and cases where disease that had been dismissed by other providers was identified and removed.

A 2025 Nancy's Nook post reports that the office phone number appeared to be disconnected, with no updated contact information easily findable online. This may reflect a transition between practice groups. Dr. Garcini has relocated practices more than once, moving from Illinois to Tucson and subsequently from one Tucson practice group to another. Patients should verify current contact information directly before attempting to schedule.

Staff conduct and office communication are noted as inconsistent across multiple platforms. Accounts describe unfriendly front-desk interactions, unanswered phone calls, and prescription errors. One 2023 Healthgrades account describes a prescription being sent to the wrong pharmacy after surgery, with no resolution until the patient followed up repeatedly. This appears in both the Illinois and Tucson eras.

Multiple independent accounts describe serious surgical complications with no follow-up or acknowledgment from the surgeon afterward. A 2023 Healthgrades account describes incisions becoming infected after discharge without written care instructions, resulting in an ER visit three days post-surgery. A 2018 Healthgrades account and a 2018 RateMDs account describe new bladder and bowel symptoms following surgery, no post-operative follow-up, and a surgeon who did not recall the surgical plan on the morning of the procedure. These accounts span multiple platforms and years.

A 2019 Yelp account from the Illinois era describes a near-fatal surgical complication following a hysterectomy. The reviewer reports going into septic shock three days after surgery due to an intestinal injury, spending two months in the hospital, and surviving with a 50/50 prognosis. The account states the surgeon left for a vacation immediately after the surgery. This is a single account and cannot be independently verified. It is included because of the severity of the reported outcome.

A 2017 Healthgrades account describes being told surgery was immediately necessary under circumstances the reviewer characterizes as emotionally coercive, followed by an incision that took years to heal and ongoing pain at the incision site more than five years later. One account only, Illinois era.

Endometriosis Focus

Endometriosis Within a Broader General Gynecology Practice

Dr. Garcini identifies as a minimally invasive gynecologic and endometriosis surgeon across multiple public platforms, including LinkedIn, the practice website, and a dedicated Instagram account whose handle contains the word endometriosis. Healthgrades data lists endometriosis treatment as occurring much more frequently than similar providers, and adenomyosis treatment is also noted as higher than average. The practice has been listed on Nancy's Nook for multiple years with consistent positive reports from endo patients.

 

At the same time, the public record includes a substantial volume of general gynecology work. Reviews reference hormone pellet insertions, general wellness exams, labiaplasty, and obstetric care. The practice website lists conditions including pelvic prolapse, urinary incontinence, and menopause alongside endometriosis and chronic pelvic pain. Dr. Garcini holds a certification as a NAMS Certified Menopause Practitioner. No public information has been found indicating that endo or pelvic pain is the exclusive focus of the practice, and patients should ask directly about the proportion of the caseload that involves endometriosis.

Surgical Method

Robotic-Assisted Excision Using the da Vinci System

Patient accounts and a co-authored published case report confirm that endometriosis excision is performed using the da Vinci robotic system. The published case report documents a robot-assisted excision involving ureteral injury repair and use of amniotic membrane, confirming experience with cases involving deep infiltrating disease affecting adjacent anatomy. A 2019 Nancy's Nook account confirms use of the da Vinci system for excision surgery in Tucson. 

Ask directly

  • Do you perform excision, ablation, or both? What factors determine which approach you use for a given case?
  • Do you use robotic or manual laparoscopy, and does that vary by case?

Other Areas of Specialty

General Gynecologic Surgery, Adenomyosis, and Menopause

Beyond endometriosis, the practice covers a broad range of gynecologic conditions. The practice website lists adenomyosis, fibroids, abnormal uterine bleeding, pelvic prolapse, urinary incontinence, interstitial cystitis (painful bladder syndrome), and menopause. Dr. Garcini holds board certification in obstetrics and gynecology through the American Board of Obstetrics and Gynecology and a NAMS certification in menopause. Professional memberships include the International Society for Gynecologic Endoscopy and the International Pelvic Pain Society. Board certifications also include FACS (Fellow of the American College of Surgeons) and FACOG (Fellow of the American College of Obstetricians and Gynecologists).

Multidisciplinary Approach

No Public Information Found

No public information has been found on whether Dr. Garcini collaborates with colorectal, urological, or thoracic surgeons for cases involving disease outside the pelvis, or whether pelvic floor physical therapy is part of the standard treatment approach.

Ask directly

  • Do you work with colorectal, urological, or thoracic surgeons for complex cases, and how is that coordinated?
  • Do you recommend pelvic floor physical therapy as part of treatment, and do you have providers you refer to?

Diagnosis Methods

No Public Information Found

No public information has been found specifically addressing the diagnostic process for new endometriosis patients, including what imaging is used, whether a negative ultrasound or MRI is considered sufficient to rule out disease, or what the pathway looks like for a patient who has never had surgery.

Ask directly

  • Do you consider a negative ultrasound or MRI sufficient to rule out endometriosis?
  • What is your process for diagnosing endo in a patient who has never had surgery?

Educational Presence

Conference Presentation, One Published Case Report, and a Small Social Media Presence

In March 2025, Dr. Garcini presented in the Spanish Language session of the Endometriosis Summit in Celebration, Florida. This is the only confirmed endo-specific conference presentation in the public record.

 

One endo-related publication is confirmed: a 2019 case report co-authored with four other physicians, published in Case Reports in Obstetrics and Gynecology, documenting the use of dehydrated human amnion/chorion membrane in ureteral repair during a robot-assisted endo excision. Dr. Garcini is listed as a co-author, not the primary author. This is the only endo-related publication found on PubMed.

 

An Instagram account under the handle @endometriosis_doctoraz exists, though few posts are present. A YouTube channel (@DrGarciniGYN) exists but the channel description references the Illinois-era practice; current content has not been independently verified. A LinkedIn profile is active, with the 2025 Summit presentation noted. No appearances on known endometriosis podcasts have been found. The distinction between surgeon-run and institution-run content has not been confirmed for the YouTube channel.

Post-Surgical Care

Responsive in Positive Accounts; Absent Follow-Up Reported in Others

Several patient accounts describe post-operative follow-up appointments and a surgeon who checked in proactively after surgery. A 2019 Nancy's Nook account describes proactive check-ins about pain levels and recovery. A 2018 Healthgrades account describes the surgeon as thorough from first appointment through follow-up

 

Other accounts describe the opposite pattern. A 2023 Healthgrades account describes being discharged without written incision care instructions, developing an infection requiring an ER visit, and receiving no timely prescription response from the practice. A 2018 Healthgrades account describes no follow-up after surgery in which the patient developed new symptoms. No public information has been found on standard follow-up timing, how long patients are seen after surgery, or the practice position on hormonal treatment post-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

Stated Commitment to Informed Decision-Making; Broad Practice Scope

In a 2022 public video, Dr. Garcini describes believing that patients should have everything they need to make educated decisions about their healthcare. The practice website states that patient care and respect are priorities from first consultation through recovery follow-up.

 

In the same 2022 video, Dr. Garcini states a preference for the immediate outcomes of delivering babies over managing long-term chronic conditions without an easy fix. This is the surgeon's own public statement and is relevant for patients whose care will require sustained, long-term engagement. No public information has been found on the stated surgical philosophy for endometriosis specifically, including position on complete excision versus partial treatment, or approach to fertility preservation.

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

  1. Northwest Allied Physicians — Dr. Francisco Garcini provider page
  2. Doximity — Dr. Francisco Garcini
  3. Healthgrades — Dr. Francisco Garcini
  4. Vitals — Dr. Francisco Garcini
  5. RateMDs — Dr. Francisco Garcini
  6. Yelp — Dr. Francisco Garcini (New Lenox, IL)
  7. LinkedIn — Francisco Garcini
  8. Instagram — @endometriosis_doctoraz
  9. YouTube — @DrGarciniGYN
  10. Novel Role of Dehydrated Human Amnion/Chorion Membrane in Healing of Denuded Ureter in Robot-Assisted Excision of Endometriosis — PubMed, Case Reports in Obstetrics and Gynecology, 2019
  11. American End of Endo Project — provider listing
  12. Nancy's Nook — surgeon listing and patient accounts
  13. Reddit — patient accounts
Submit Feedback

FAQ
Why did you make this directory?

Who you choose for your surgeon matters more than most people realize. The wrong surgeon can mean missed disease, unnecessary surgeries, and years of pain that didn't have to happen. This is what happened to me.

Finding the right one is not a guarantee, but can drastically improve the outcome of your surgery. This directory pulls together publicly available information and patient-reported patterns in one place, so you can walk into a consultation prepared.
Where did you find this information?

This directory was built using publicly available information from a wide range of sources, including surgeon websites, medical publications, advocacy resources, social media, and submissions from my social media community.

If they show on this list, it means a surface-level check confirmed endometriosis is a primary focus of their practice.. Once their name is linked to a profile, it means I have completed and published my deeper independent research on that surgeon.
What is an endo specialist?

A specialist is a surgeon whose practice centers on endometriosis and/or complex pelvic conditions, including fibroids, adenomyosis, pelvic pain, and similar conditions, as a primary focus rather than as one service among a general gynecology or obstetrics practice.
How do you decide who is on the list?

Inclusion criteria:

A surgeon is eligible if they publicly identify, or are publicly identified, as a specialist through any of the following:

  • Practice website
  • Public facing profiles (Doximity, hospital profiles, etc)
  • Social media bio or consistent social content
  • Inclusion on other endo specific directories: iCareBetter, Nancy’s Nook, Yellow Hub listing

Exclusion criteria:

A surgeon is excluded if public information indicates endometriosis is not a primary focus of their practice:

  • Their public profile presents them primarily as a general OB/GYN or obstetrician with endometriosis listed incidentally among many services
  • No public source positions them as a specialist,  they surface only through patient referral tips or self submission with no verifiable public identity as an endo surgeon
Can a surgeon be removed from the directory?

Surgeons are included on the list based on the criteria listed above.

Personal conduct, social media behavior, and online controversy are not criteria for inclusion or removal. The directory exists to help patients find skilled surgeons, not to weigh in on personality or public opinion.

A surgeon could be removed if I find loss of medical license, or strong evidence they are not a specialist.
Why isn't my surgeon listed?

Absence from this directory doesn't mean a surgeon is unqualified. It means I either haven't found them yet, or couldn't find enough public information to confirm that endometriosis as a genuine focus of their practice. The directory is a living resource and will keep growing with your help.

Use the "submit feedback" button above to suggest a surgeon for review or share your experience with a surgeon.
Can I suggest a surgeon?

Yes, please! Use the "submit feedback" button above.

A submission is a request for consideration, not a guarantee of inclusion. Every surgeon goes through the same research process regardless of how they came to our attention, whether that's a patient suggestion, a surgeon submitting themselves, or my own research. The information found is the information published, good or bad.
I have a surgery coming up but the surgeon profile isn't ready!

Send me a message on Instagram or TikTok (@wulfwomen), I am happy to skip ahead and help research your surgeon before your surgery date. <3

If the surgeon you're looking for doesn't meet the criteria, I will let you know. If they do, I will create the full profile and publish it here on this page.

How often is this updated?

I plan to go through the list every three months and make updates. I hope to add feedback as I get it, but I am only one person and it may take some time.

What should I do if information in a profile is wrong?

Please email me at deb@wulfwomen.com and let me know. Correcting inaccurate information is at the top of my priority list.

I really appreciate all feedback and more eyes on this. I've worked very hard to make sure this is accurate, but there is always a chance something could slip through. I review all submissions and make corrections as quickly as I can.
There's no surgeon in my city or state!

Check out the surgeons in your neighboring states. Many them operate out of multiple locations.
How do you collect patient feedback?

Patient feedback is pulled from publicly available sources like reviews and community forums. Some feedback is submitted directly to me via the "submit feedback" button above.

I take this feedback and fold it into the summaries in the profiles, rather than including every review word for word.

Why are some profiles more detailed than others?

Profile depth reflects what's publicly available, not the quality of the surgeon. That said, a sparse profile is worth paying attention to. Surgeons who specialize in endometriosis tend to have a presence in the patient community. If a profile is thin on reviews and information, that's a sign to do more research and ask a ton of questions.
Is this directory AI-assisted?

Yes, and I'll be upfront about it. I could not have built this without AI.

I am doing the research on each surgeon, then asking AI to check the internet for search for additional public sources.

Then, I ask AI to help with the first draft of the profile content. I read it and fix it manually to make sure it's accurate based on my research.

Lastly, I ask AI to build the code for me to make the profiles look nice on the website.
How is this different from Nancy's Nook or iCareBetter?

I have the utmost respect for Nancy's Nook, she helped me find my specialist. I have had her page listed on my website for a year now, but noticed very few people are clicking the link I provided. The younger generations aren't using facebook as much as we used to and I wanted something easier to access for all ages.

I also wanted to provide a service that could pull information from all over the internet and make it easy to view in one place.

iCareBetter has great information, but much of the information on there is surgeon submitted or sponsored. The Wulf Women list is a place for all information to be found, regardless of where it came from.

Do you make money from this directory?

No. I will never accept payment from any surgeon listed here, and this directory does not generate income for me.

Who are you?

My name is Debrah (Deb) Stark. I'm an endo patient who learned the hard way how important specialty care is. I promised myself after my second surgery I would do everything I could to help other women navigate endometriosis care. My mission is to give women enough information to help them make the right medical decisions for themselves.

You can find me on TikTok and Instagram as @wulfwomen .

“For the strength of the Pack is the Wolf, and the strength of the Wolf is the Pack.”
-Rudyard Kipling,The Jungle Book