Dr. Andrea Vidali

Patient Feedback

Patterns Across Patient Feedback

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 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 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 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.

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 approach is described as integrating targeted medical therapies alongside surgical excision, rather than treating surgery as a standalone intervention.

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.

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 also uses what is described as endometriosis mapping as part of his diagnostic and surgical planning process.

Note that consultations are frequently conducted by phone or telehealth. Some patients report their first in-person encounter with the surgeon was on the day of surgery. Patients who require an in-person consultation before committing to surgery should confirm this directly with the office before booking.

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, 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 co-founded The Endometriosis Summit with Dr. Sallie Sarrel, an annual conference that connects patients and practitioners in the endo space. He has appeared there 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 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.

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 public materials note 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.

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 publicly that central sensitization (a process by which the nervous system becomes persistently tuned to pain signals) can persist even after lesions are removed, and that this may explain why some patients continue to experience pain 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 in public writing: "There will always be someone willing to take your money and operate. That has never been my philosophy."

Dr. Vidali operates a large and visible public platform, including social media accounts with a significant following 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.