Endometriosis Excision Surgeon
Dr. Michael Hibner
Scottsdale, Arizona
At a Glance
Strengths
- Runs a dedicated chronic pelvic pain clinic - endometriosis is at the top of the conditions list
- Fellowship-trained under Dr. Javier Magrina at Mayo Clinic, one of the most respected minimally invasive gynecologic surgeons in the world
- Deep focus on pelvic nerve involvement in pain, including pudendal neuralgia, which commonly occurs alongside endometriosis
- Elected to the AAGL presidency - significant recognition within the gynecologic surgery community
Worth Knowing
- Does not accept insurance
- Has more negative reviews than other surgeons in this directory - read the full profile carefully before making a decision
- Multiple accounts describe complications and lack of follow-up after surgery
From the Editor
Dr. Hibner tends to take on the complex cases - patients who have been through multiple surgeries and still have unresolved pain. The focus on pudendal neuralgia (chronic pain caused by irritation or damage to the pudendal nerve, which commonly occurs alongside endometriosis) is a genuinely different angle worth knowing about. The level of engagement with the surgical community over a long career is meaningful The negative reviews are more substantial than most surgeons on this list, and it is not entirely clear whether that reflects the difficulty of the cases he takes on or something else. Patients should go in informed.
Patient Feedback
Patterns Across Patient Feedback
Endometriosis Focus
Endometriosis as a Primary Focus Within a Broader Pelvic Pain Practice
Dr. Hibner founded the Arizona Center for Chronic Pelvic Pain (AZCCPP) in 2005, initially at St. Joseph's Hospital in Phoenix, and relocated it to a standalone practice in Scottsdale in 2020. Endometriosis is listed first among the conditions treated at the clinic.
The practice also treats pudendal neuralgia, interstitial cystitis (painful bladder syndrome), pelvic floor dysfunction, pelvic congestion syndrome, pelvic mesh injuries, and other causes of chronic pelvic pain. Dr. Hibner has stated publicly that many of these conditions occur alongside endometriosis and that treating endo in isolation, without addressing concurrent pain generators, produces incomplete results.
The practice sees patients from across the United States and internationally, and has a documented history of taking on cases involving advanced and recurring disease that other surgeons had declined to treat.
Surgical Method
Robotic Excision Using the da Vinci System
Endometriosis surgery is performed using the da Vinci robotic system. Dr. Hibner trained on one of the first da Vinci robots in use during his fellowship at Mayo Clinic in 2001 and has performed several thousand robotic procedures over the course of the practice. Manual laparoscopy is also used and the Facebook page notes the approach can vary by case. One Reddit account from 2025 mentions that surgery performed approximately 12 years prior included both ablation and excision.
Ask directly
- Do you perform excision, ablation, or both? What factors determine which approach you use for a given case?
Other Areas of Specialty
Nerve Surgery, Mesh Removal, and Complex Pelvic Pain
Beyond endometriosis, the practice has a significant focus on pudendal nerve decompression surgery (surgery to release a compressed pudendal nerve, a known cause of chronic pelvic pain). Dr. Hibner has performed more than 350 pudendal nerve decompression procedures and is one of a small number of surgeons in the United States performing this operation.
Pelvic mesh removal is also a major area of practice, drawing on triple board certification in obstetrics and gynecology, urogynecology, and minimally invasive gynecologic surgery. Additional procedures include hysteroscopy, treatment of Asherman's syndrome (uterine scarring), laparoscopic myomectomy (fibroid removal), and vaginal hysterectomy.
Multidisciplinary Approach
Pelvic Floor PT On-Site and Specialist Collaboration for Complex Cases
The AZCCPP has a pelvic floor physical therapist on staff, and pelvic floor PT is described as a standard part of the treatment approach for complex pelvic pain and recovery from surgery. Pre-surgical preparation (prehabilitation) through PT is also offered. For cases involving disease outside the pelvis or requiring specialized surgical involvement, Dr. Hibner has stated that collaboration with colorectal, urologic, and thoracic surgeons is part of the approach when indicated. Nancy's Nook confirms that a multidisciplinary team is available. Pain specialist involvement is documented through the broader practice scope, which includes interventional pain management as a component of treatment for complex cases.
Diagnosis Methods
Limited Public Information on Diagnostic Process
No public information has been found specifically addressing the diagnostic process for new endometriosis patients at AZCCPP - 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. The practice website and public-facing content focus primarily on treatment rather than diagnosis. Patients who are earlier in their diagnostic journey, rather than coming with a confirmed history of endometriosis, should ask directly about the intake process.
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
Extensive Community and Institutional Engagement Over a Long Career
Dr. Hibner has a substantial and long-running presence in the pelvic pain and endometriosis surgical community. In 2006, the AZCCPP opened one of the first AAGL-accredited fellowships in minimally invasive gynecologic surgery in the United States, through which 17 fellows have been trained. In 2011, Dr. Hibner petitioned AAGL to establish a Special Interest Group for pelvic pain, which became the first of its kind within the society, and served as its founding chair. Elected to the AAGL Board of Directors in 2015, and elected AAGL Secretary-Treasurer in October 2023, with ascension to the AAGL presidency in January 2026.
Dr. Hibner edited "Management of Chronic Pelvic Pain: A Practical Manual," published by Cambridge University Press in April 2021. The book covers endometriosis, interstitial cystitis, pelvic floor dysfunction, pudendal neuralgia, pelvic mesh injuries, and related conditions. A book chapter titled "The Evil Quadruplets" addresses the conditions that most commonly occur alongside endometriosis. Dr. Hibner has also served for eight years on the Board of Directors of the International Pelvic Pain Society (IPPS) and has organized conferences in Phoenix that have drawn attendees from five continents.
Two endo-related publications are confirmed: a 2020 study on the prevalence of microscopic endometriosis in tissue that appears normal during laparoscopy, and a 2013 proteomic analysis of endometriotic tissue. Academic appointments are held at Creighton University School of Medicine, the University of Arizona College of Medicine, Mayo Clinic College of Medicine and Science, and Arizona State University.
A surgeon-run YouTube channel (@QTNAwithMichaelHibner) covers pelvic pain conditions including endometriosis, pudendal neuralgia, and related topics. An Instagram account (@michaelhibnermd) is active with over 2,400 followers and covers endometriosis, pelvic pain, and shared decision-making. A Facebook page (MichaelHibnerMD) is also active.
Post-Surgical Care
Responsive During Recovery in Positive Accounts; Abandonment Reported in Others
Patient accounts on Nancy's Nook describe Dr. Hibner as personally responsive during recovery - including returning calls on weekends and remaining available between practices during the 2020 transition from St. Joseph's to AZCCPP. Post-operative appointments and follow-up discussions about recurrence and ongoing care are documented in multiple accounts.
The negative accounts on Healthgrades include a pattern of patients reporting that contact stopped entirely after surgical complications arose. 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. These are important questions to ask before making a decision.
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
Complete Excision, Concurrent Pain Generators, and Shared Decision-Making
Dr. Hibner has stated publicly that complete removal of all visible endometriosis is the surgical goal, including disease on the bowel, bladder, diaphragm, and other areas. The practice philosophy emphasizes identifying and treating concurrent pain conditions alongside endometriosis rather than treating endo in isolation - the position being that unresolved pain after endo surgery often reflects untreated concurrent conditions rather than surgical failure alone.
In a 2020 consult documented on Nancy's Nook, Dr. Hibner stated that he does not understand why medications like Lupron or Orilissa are prescribed to patients, describing his job as improving quality of life rather than suppressing hormones. Instagram posts from 2026 describe a shared decision-making approach in which patients are given time to ask questions and understand their options before proceeding.
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
- Arizona Center for Chronic Pelvic Pain - Dr. Michael Hibner provider page
- Healthgrades - Dr. Michael Hibner
- RateMDs - Dr. Michael Hibner
- Yelp - Dr. Michael Hibner
- PudendalHope Forum - Dr. Michael Hibner
- Tebra - Arizona Center for Chronic Pelvic Pain
- Doximity - Dr. Michael Hibner
- American End of Endo Project - provider listing
- Instagram - @michaelhibnermd
- Facebook - MichaelHibnerMD
- YouTube - Questions That Need Answers with Dr. Michael Hibner
- Management of Chronic Pelvic Pain: A Practical Manual - Barnes and Noble
- Prevalence of occult microscopic endometriosis in clinically negative peritoneum during laparoscopy for chronic pelvic pain - PubMed, International Journal of Gynaecology and Obstetrics, 2020
- Proteomic analysis of eutopic and ectopic endometriotic tissues based on isobaric peptide tags for relative and absolute quantification (iTRAQ) method - PubMed, Neuro Endocrinology Letters, 2013
- Nancy's Nook - surgeon listing and patient accounts
- Reddit - patient accounts