Endometriosis Excision Surgeon
Dr. Andrea Vidali
New York, New York (also operates in New Jersey and Florida)
Synopsis
One of the most publicly active endo excision surgeons in the country, with a reputation that draws patients from around the world and a patient record that deserves a careful read
Dr. Vidali has built one of the most visible presences in the endometriosis space, with over 25 years focused specifically on excision surgery, a 176,000-follower Instagram account, co-founding The Endometriosis Summit, and a practice that regularly treats complex multi-organ cases that other surgeons have declined. The volume of deeply positive patient accounts is real and spans years and platforms. Women describe him as the surgeon who finally believed them, finally found disease that had been missed, and gave them their lives back.
He is also a surgeon with a significant public profile and a vocal online presence, and the patient feedback record contains legitimate concerns alongside the positive accounts. Consultation experiences have been described as rushed in multiple independent accounts. Office communication is a recurring friction point. There is one serious account involving a referral to a practitioner who caused documented harm. None of this necessarily disqualifies him for any individual patient, and none of it changes the picture of a surgeon who is deeply committed to endometriosis and capable of complex work. But this directory organizes information so patients can evaluate clearly, and on a profile this large and varied, that means presenting the full picture. Read the patient feedback section carefully before making a decision.
Endometriosis Focus
Endometriosis excision as a primary specialty for over 25 years, including complex multi-organ and extrapelvic cases
Dr. Vidali has focused on endometriosis excision surgery for over 25 years, combining this with training and practice in reproductive endocrinology and reproductive immunology. He is the founder of Endometriosis Surgical Specialists International (ESSI), a collaborative network of surgeons dedicated to advanced endometriosis, adenomyosis, fertility, and complex pelvic disease care. He co-founded The Endometriosis Summit, an annual conference that connects patients and practitioners in the endo space.
He is listed on iCareBetter as a Video-Vetted excision surgeon, their highest vetting level, and is listed on the End of Endo Project for bowel, urinary, and extrapelvic cases. Nancy's Nook confirms excision and fertility work. Treatment frequency data from Healthgrades and WebMD Care shows endometriosis and ovarian endometrioma treated at rates higher than most providers nationally.
His practice website describes him as an internationally recognized specialist who performs hundreds of excision surgeries annually, including cases involving the bowel, rectum, diaphragm, lungs, bladder, and abdominal wall. He has publicly stated his philosophy on early and complete excision: his position, described in multiple public articles, is that ablation is insufficient and that delaying thorough excision allows the disease to wire itself into the nervous system in ways that become progressively harder to treat.
Surgical Method
Robotic-assisted minimally invasive excision; complex multi-organ cases performed with a specialized surgical team
Dr. Vidali's stated and documented approach is excision only. His public writing explicitly rejects ablation as insufficient. His practice website describes robotic-assisted minimally invasive surgery as the primary modality. The End of Endo Project listing notes his partnership with a hepatobiliary surgeon, Dr. Joseph Raccuia, enabling hepatic, bowel, and bladder excisions. Patient accounts describe lesions being removed from the diaphragm, bladder, ureters, bowel, rectal wall, pelvic walls, abdominal wall, appendix, and nerves in single procedures. One patient account describes a 5.5-hour surgery that began as a planned two-hour case after undetected stage IV disease was found. The End of Endo Project also notes his ability to perform the Osada procedure, a uterine-preserving surgery for adenomyosis, in selected cases, and ultrasound-guided nerve blocks.
Other Areas of Specialty
Reproductive endocrinology, reproductive immunology, and fertility preservation
Dr. Vidali completed a fellowship in Reproductive Endocrinology and Infertility at Columbia University College of Physicians and Surgeons. His practice explicitly combines endometriosis excision with fertility care, and a stated priority across his public materials is fertility preservation during surgery. He is the founder and principal clinician-scientist of Braverman Reproductive Immunology (BRI) and the founder of Pregmune, described as an immunology-based testing platform for reproductive failure. He has a specific stated interest in what he calls "silent endometriosis" in patients with recurrent pregnancy loss or implantation failure, including after failed IVF. The End of Endo Project lists him for adenomyosis care including the Osada procedure for uterine preservation.
Multidisciplinary Approach
Dedicated surgical team including colorectal, urological, and thoracic surgeons; refers to pelvic floor PT and pain specialists
Dr. Vidali operates with a named multi-surgeon team at ESSI. For complex cases, his documented collaborating surgeons include Dr. Joseph Raccuia (general and hepatobiliary surgery), Dr. Yaniv Larish (urology), Dr. Madhu Bagaria, and Dr. Daniel Fernandez. In a public article about liver and diaphragm endometriosis, Dr. Vidali described his decision to bring Dr. Raccuia into liver-adjacent cases not because he cannot perform the work, but because operating together is faster, safer, and more precise.
Nancy's Nook patient accounts confirm this team model in practice. Multiple Nook reviewers describe waking from surgery to learn that colorectal, urological, or other specialists had been involved as their cases required. His practice website and ESSI materials describe his extended network as including pain management specialists, pelvic floor physical therapists, and mental health professionals who support patients through treatment. His iCareBetter listing notes holistic integration of targeted medical therapies alongside surgical excision.
Diagnosis Methods
Ultrasound and advanced MRI review; publicly advocates against relying on imaging alone to rule out disease
Dr. Vidali conducts in-office transvaginal ultrasound during consultations and is described in multiple patient accounts as highly skilled at identifying findings on imaging that had been missed elsewhere. One RateMDs reviewer described a consultation during which Dr. Vidali reviewed her MRI live, identified adenomyosis and possible residual disease within minutes of an ultrasound, and did so without dismissing the work of her prior surgical team. Multiple patient accounts describe arriving with imaging or prior surgical reports that had shown no findings, and having disease identified at this practice. The End of Endo Project notes his use of what is described as endometriosis mapping as part of his diagnostic and surgical planning process.
In his public writing, Dr. Vidali has taken a clear position on imaging limitations. His stated view is that endometriosis is frequently missed by standard imaging and that a negative ultrasound or MRI is not sufficient to rule out disease. He has also publicly described a neurocentric model of endometriosis pain, arguing that the disease recruits the nervous system and that central sensitization can persist even after lesions are removed. This framing informs his diagnostic approach to patients whose pain is disproportionate to visible disease, or whose pain has returned after excision.
Ask directly
- What is your process for diagnosing endo in a patient who has never had surgery?
- What does your endometriosis mapping process involve, and how does it differ from a standard pre-surgical MRI?
Educational Presence
One of the most active endo surgeons in public education; co-founder of The Endometriosis Summit; published in Fertility and Sterility
Dr. Vidali maintains one of the largest independent social media presences of any endometriosis surgeon in the United States. His Instagram account (@endometriosis_surgeon) has approximately 176,000 followers and 2,400 posts as of 2026. He is also active on TikTok (@andreavidalimd), Facebook (EndometriosisSurgeon), LinkedIn, and Reddit, where he posts under his own name and has responded directly to patient threads about his care. The content across these channels is surgeon-generated, not institution-produced, and covers excision philosophy, the neurocentric model of endo pain, fertility and immunology, and patient education.
His YouTube presence spans two channels: a personal channel (AndreaVidaliMD) and the ESSI channel (@essi.endometriosis), which hosts educational videos on endometriosis, infertility, IVF, and surgical philosophy. He has appeared at The Endometriosis Summit (which he co-founded with Dr. Sallie Sarrel) as a speaker and surgical educator, including leading cadaveric dissection labs. In November 2024, he appeared on a Vumedi physician education panel on abdominal wall endometriosis alongside Drs. Fogelson, Chung, Raccuia, Wasson, and Sarrel.
The ESSI website (internationalendo.com) hosts multiple substantive articles authored or co-authored by Dr. Vidali on the neurocentric model of endo pain, psychedelics and central sensitization, and extreme anatomy cases involving the liver and diaphragm. He has published an editorial in Fertility and Sterility (2023) arguing that endometriosis and recurrent pregnancy loss share an underlying immunological dysfunction. He is an ABOG board-certified OB/GYN and a member of the American Society for Reproductive Medicine (ASRM). Earlier in his career, Dr. Vidali held the Director of Reproductive Endocrinology and Infertility role at Hackensack University Medical Center and two directorships at Saint Vincent's Catholic Medical Center in New York. In 2001, he partnered with laparoscopic surgery pioneer Dr. Harry Reich, alongside Dr. C.Y. Liu and Dr. Tamer Seckin, to establish an advanced gynecologic surgical practice at St. Vincent's Hospital.
Patient Feedback
Patterns Across Patient Feedback
Post-Surgical Care
Post-operative care documented across patient accounts; office communication in follow-up is a noted friction point
Patient accounts describe receiving a video recording of the surgical findings, narrated by Dr. Vidali in the operating room, and labeled photographs of excised tissue on a flash drive. Multiple accounts describe being seen for a post-operative appointment, though in at least two cases from different years, that appointment was conducted by phone and was described as rushed or incomplete. One reviewer reports not being told her endometriosis stage at her post-op appointment and having to read her pathology report herself to understand what had been found and where.
His iCareBetter profile notes that he uses progestins and IUDs as targeted medical therapies alongside excision and does not rely on GnRH agonists or antagonists. No public information was found on the standard post-operative follow-up schedule, how long patients are typically seen after surgery, or the practice's stated hormonal management approach for all cases.
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, and is it conducted in person or by phone?
- 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
A neurocentric view of endometriosis pain; fertility preservation as a stated priority; advocates for early, thorough excision
Dr. Vidali has articulated a clear and detailed philosophy on endometriosis in his public writing. His central position is that endometriosis is a neuroinflammatory disease, not simply misplaced tissue, and that pain is built into a feedback loop running from estrogen-sensitive lesions through inflamed nerves into the spinal cord and brain. His stated reasoning for advocating early and complete excision is that the longer this circuit runs, the more permanently it becomes embedded. He has written: "Any surgeon who still equates 'lesion gone' with 'pain gone' is working from a 20-year-old model." He has also written about central sensitization as a possible explanation for patients whose pain is out of proportion to visible disease, or whose pain has persisted after excision.
He has stated publicly that he does not recommend surgery in all cases, and that when he advises against it, he is putting the patient's outcome first. He has framed this explicitly: "There will always be someone willing to take your money and operate. That has never been my philosophy." A 2024 Reddit thread documents a case where he advised against surgery at an initial consultation and then reversed that recommendation at a second appointment after reviewing the patient's MRI more thoroughly. His practice includes a self-pay program ("Excellence Program") and a commercial insurance pathway ("Pilot Program") for patients with out-of-network benefits.
Dr. Vidali operates a large and visible public platform, including social media accounts with a significant following, a podcast through The Endometriosis Summit, and regular engagement with patient communities including Reddit. At least two reviewers noted that the scale of his social media presence was initially a source of skepticism before they decided to proceed. This is patient-reported and not a clinical concern, but it is worth noting for patients who prefer a lower-profile practice environment.
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
- drvidali.com - Dr. Vidali practice website
- internationalendo.com (ESSI) - Dr. Vidali surgeon profile
- ESSI - Nerve-centric endometriosis pain article
- ESSI - Psychedelics and pelvic pain / neurocentric endometriosis
- ESSI - Liver and diaphragm endometriosis with Dr. Raccuia
- iCareBetter - Dr. Vidali listing (Video-Vetted)
- End of Endo Project - Dr. Vidali directory listing
- Doximity - Credentials and publications
- FertilityIQ - Dr. Vidali patient ratings
- Instagram - @endometriosis_surgeon
- YouTube - ESSI Endometriosis channel
- YouTube - Dr. Vidali on endometriosis philosophy
- Reddit - u/AndreaVidaliMD (surgeon's personal account)
- Fertility and Sterility (2023) - Endometriosis and recurrent pregnancy loss editorial (PMID 36933642)
- New York Post (March 2026) - Patient endo diagnosis story
- Healthgrades - Treatment frequency data and patient reviews
- RateMDs - Patient reviews (57 reviews, 4.6/5)
- Vitals - Patient reviews
- Nancy's Nook - Excision and fertility work confirmed; patient community reviews (closed forum, not publicly linkable)
- Reddit r/Endo and r/endometriosis - Patient community accounts (multiple threads, 2018-2026)
- Facebook - Patient reviews from public posts (facebook.com/EndometriosisSurgeon)
- Patient accounts shared directly with Wulf Women