Endometriosis Excision Surgeon
Dr. Roseann Maikis
Nashville, Tennessee
At a Glance
Strengths
- Multiple patients with deep or recurring endometriosis praise her surgical skill and report real relief, including some who have had several surgeries with her
Worth Knowing
- Information was found indicating she may still provide general OB-GYN care. It is unknown what percentage of her surgeries or patient care involves endometriosis
- No endometriosis-specific training, research, conference talks, or educational content was found
- Her website states that removing the uterus along with the endometriosis cures the disease
- Multiple reviews describe her as "cruel", "dismissive," or "judgmental"
From the Editor
Dr. Maikis also appears to potentially provide general OB-GYN care and deliver babies along with her endometriosis services, so I considered leaving her out of the directory. I ultimately included her because a) I'm unsure if that information is stale, b) her website promotes her as one of the leading experts in Tennessee in excision surgery, and c) I have had many requests to look into her. Patients who come across her in their search for endo care should be able to see what I found.
Her website states with certainty that endometriosis is caused by cells from the uterus moving elsewhere in the body, and that removing the uterus along with the endometriosis is a cure. The cause of endometriosis is not settled, and endometriosis can return after a hysterectomy. Patient feedback is split about evenly between positive and negative, which is a higher share of negative reviews than most surgeons in this directory. Several patients credit her with excellent surgical results, while multiple reviews describe her as cruel.
Patient Feedback
Patterns Across Patient Feedback
Endometriosis Focus
General OB-GYN Practice With a Stated Focus on Endometriosis and Fibroid Surgery
Dr. Maikis practices at Advanced Women's Health of Nashville. Her website calls her practice the Nashville Center for Endometriosis and Fibroid Surgery and says she specializes in hysterectomy and in removing fibroids and endometriosis through laparoscopic surgery (surgery through small incisions using a camera). Her website also describes her as one of the leading experts in Tennessee in excision surgery.
Ascension Saint Thomas lists her as an independent OB-GYN, meaning she is not employed by the hospital, and lists pregnancy, labor, and delivery among her services. Patient accounts also describe her providing pregnancy care, including delivering a baby. Her bio says that from 2000 to 2008 she performed more than 1,000 hysterectomies and endometriosis surgeries, but does not say how many were for endometriosis. It is not known how much of her current work involves endometriosis.
After residency, she trained in advanced laparoscopic surgery with Dr. James Daniell in Nashville. Dr. Daniell was an early leader in laparoscopic surgery, but his published work on endometriosis used lasers and other heat-based tools, not excision. Healthgrades calls this training a fellowship, but her own bios do not, and it could not be confirmed. No endometriosis-specific training was found.
Surgical Method
Laparoscopic and Robotic Surgery, With Excision
Her website describes complete excision, meaning endometriosis is cut out, including the deeper tissue beneath each spot. Ablation, the other common approach, burns endometriosis instead of removing it. The website says all visible endometriosis and scar tissue is removed, including disease on the major organs of the pelvis. She has used both standard laparoscopic and robotic (da Vinci) surgery since 2008. One patient account in Patient Feedback reports that her surgical records showed ablation rather than excision.
Ask directly
- Do you perform excision, ablation, or both? What factors determine which approach you use?
Other Areas of Specialty
Hysterectomy, Fibroids, and Adenomyosis
Her website focuses heavily on hysterectomy through small incisions, including total hysterectomy (removal of both the uterus and cervix), and on removing fibroids, which are noncancerous growths in the wall of the uterus. The website also discusses adenomyosis, a condition in which the lining of the uterus grows into the muscle wall of the uterus, causing heavy, painful periods.
Multidisciplinary Approach
No Public Information Found
No public information found.
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
Early Surgery Recommended to Confirm Endometriosis
Her website describes diagnosing endometriosis through surgery, and recommends that patients who want to get pregnant someday have that surgery sooner rather than later. For adenomyosis, the website says it is suspected when a patient has heavy, painful periods but the uterus looks normal on ultrasound, and that it can only be confirmed by removing the uterus and looking at it under a microscope. No public information was found on what tests, if any, she uses before surgery to decide whether a patient likely has endometriosis.
Ask directly
- Do you consider a negative ultrasound or MRI sufficient to rule out endometriosis?
Educational Presence
No Endometriosis Research, Teaching, or Public Education Found
No endometriosis research by Dr. Maikis was found. Two papers she co-wrote with Dr. Daniell around 2000 and 2001 are about fertility surgery and a hysterectomy complication, not endometriosis. Her bio says she travels nationally to teach other surgeons, but no record of her teaching courses or speaking at conferences was verified. No YouTube videos, podcast appearances, or interviews were found, and no social media accounts came up in general web searches.
Her practice bio lists three honors: "Top International Surgeons," "Top 5% of United States Surgeons," and "Best Doctors in Mid TN" from the Nashville Business Journal. The bio does not name who issued the first two, and none of the three could be verified through another source. Physician awards vary widely. Some are peer reviewed, and some can be purchased. Patients may want to ask who issued an award and how recipients were chosen.
Post-Surgical Care
No Public Information on Follow-Up Care
No public information was found on when the first follow-up visit happens, whether she sees patients herself after surgery, or how long she continues to see them. Patient accounts on follow-up care are mixed and are described in Patient Feedback. One patient (Nancy's Nook 2017) reports being told, after pain returned, to expect surgery about once a year until having children or a hysterectomy.
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
Excision for Pain, Hysterectomy as a Cure
Her website states that endometriosis is caused by cells from the lining of the uterus moving to other places in the body, and calls removal of the uterus along with all visible endometriosis the cure for the disease. It states that the ovaries do not need to be removed, so patients can go through menopause naturally. The website describes complete excision as the best way to treat endometriosis pain, and says the cervix is sometimes removed in patients with endometriosis or painful sex because it can be a source of pain.
For patients who want to get pregnant in the future, the website recommends early surgery, stating that ongoing endometriosis causes far more damage than surgical scarring. For treatment without surgery, the website lists birth control pills, progesterone, and Lupron (a drug that temporarily shuts down estrogen production).
Ask directly
- What percentage of your surgical cases involve endometriosis?
- If adenomyosis is found during surgery, how do you handle that in a patient who wants to preserve fertility?
Sources
- Dr. Roseann Maikis - practice website
- Dr. Roseann Maikis - Laparoscopic Excision of Endometriosis
- Dr. Roseann Maikis - Total Laparoscopic Hysterectomy
- Advanced Women's Health of Nashville - Our Physicians
- Ascension Saint Thomas - Roseann Maikis, MD
- Medical News Today Connect - Dr. Roseann Maikis
- FindATopDoc - Dr. Roseann Maikis
- Healthgrades - Dr. Roseann Maikis
- Yelp - patient reviews
- Facebook - patient comments
- Doximity - Dr. James Daniell
- History of minimally invasive surgery - Nezhat et al., Journal of Clinical Medicine, 2026 (PMC)
- Operative Laparoscopy for Endometriosis - Daniell, Seminars in Reproductive Endocrinology, 1985
- Laser laparoscopic management of large endometriomas - Daniell, Kurtz, Gurley, Fertility and Sterility
- Maikis, Anderson, Daniell - Gynaecological Endoscopy, 2000
- ResearchGate - Daniell, Anderson, Maikis case report, 2001
- Nancy's Nook - patient accounts
- Reddit - patient accounts
- Wulf Women - patient submission