Healing Starts Here

PRM Center of Excellence

The PRM Center of Excellence provides comprehensive, long-term care for endometriosis patients, including before, and after, their excision surgery. With a team of pelvic pain and endometriosis specialists, we are improving overall surgical outcomes and reducing the overall total number of surgeries patients undergo in their lifetime.

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PRM offers lifetime care, improved surgical outcomes, reduced total surgeries

Our Center of Excellence Is One Of A Kind

10+%

PRM’s Center of Excellence has 10% of the nations endometriosis surgeons nationally

300+

Endometriosis excision surgeries performed every year nationwide

11

PRM locations provide MIGS Fellowship-trained surgeons

50%

of PRM patients saw noticeable decrease in pain after endometriosis excision surgery combined with our PRM Protocol™

The PRM COE Explained

At PRM, our goal is to reduce the total number of surgeries endometriosis patients must undergo in their lifetime. With endometriosis being a systemic, inflammatory disease process, patients must be educated about how the disease affects their body and the importance of pain and symptom management.

Working with both pelvic pain specialists and endometriosis excision surgeons through the PRM Center of Excellence means endometriosis patients will not only experience enhanced surgical outcomes, but better understand their condition, how it affects their pelvic floor, and receive the treatment and guidance needed to manage it.

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Fellowship-Trained, Robotic Surgeons Collaborating with In-House Pelvic Pain Specialists

Leading the Nation in Endometriosis Excision and Pain Relief

At PRM, we are a national leader in advanced excision surgery for endometriosis. This surgery removes the painful lesions causing inflammation and discomfort. Our expert surgeons use the latest technology, including the robotic-assisted da Vinci system, to perform precise and effective procedures.

What makes PRM unique is our exclusive focus on endometriosis excision — only about 100 surgeons worldwide have this specialized training. Our fellowship-trained experts have extensive experience with even the most complex cases, helping patients across the country achieve the best results.

Across all our locations, we provide comprehensive care. Our excision surgeons collaborate closely with pelvic pain specialists to deliver a complete treatment plan through the PRM Protocol™, supporting you before, during, and after surgery for the best possible recovery.

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Innovative Non-Surgical Endometriosis Pain Treatment

How The PRM Protocol™ Helps Endometriosis Patients

At PRM, we specialize in treating the full spectrum of endometriosis symptoms with our exclusive PRM Protocol™.

Before Surgery: Pre-Hab for Better Outcomes
Preparation matters. Our pre-hab treatment program supports the pelvic floor and surrounding structures before surgery, helping reduce inflammation, calm nerve sensitivity, and improve overall tissue function. By optimizing the body ahead of time, patients often experience smoother recoveries, better surgical outcomes, and a stronger foundation for long-term relief.

After Surgery: Post-Hab for Full Recovery
Surgery is one step — not the finish line. Our structured post-hab protocol continues care beyond the operating room, focusing on restoring function, reducing residual pain, and preventing recurrence patterns. Through guided rehabilitation and ongoing pelvic pain management, we help patients move toward sustainable relief and improved quality of life — not just short-term recovery.

Non-Surgical Endometriosis Treatment
For patients who are not pursuing excision surgery, the PRM Protocol™ offers a comprehensive, non-surgical approach designed to validate symptoms and address the full-body impact of endometriosis. By targeting inflammation, nerve involvement, and musculoskeletal dysfunction, we provide meaningful symptom improvement and long-term management strategies tailored to each patient.

The PRM Difference
Endometriosis affects more than one organ — and effective care requires more than one solution. By treating both the disease and its widespread impact on the body, PRM delivers coordinated, multidisciplinary care from diagnosis through long-term management. Patients nationwide choose PRM not only for surgical expertise, but for compassionate validation, improved outcomes, and a commitment to sustainable relief.

Pre-Hab Care at PRM Post-Hab Care at PRM

A Non-Surgical Alternative for Endometriosis-Related Pelvic Pain

The PRM Protocol™

The PRM Protocol™ is a non-surgical treatment series designed to calm inflammation, release muscle tension, and restore nerve function within the pelvis, three of the key contributors to endometriosis-related pain. Using image-guided, in-office procedures, our physicians precisely target irritated nerves and inflamed tissue to help reduce pain signals, relax overactive pelvic muscles, and improve mobility and overall function.

For many individuals with endometriosis, the PRM Protocol™ offers an effective alternative to surgery. By addressing the inflammatory and neuromuscular components of the disease, our approach can ease pain, support pelvic healing, and help patients regain their quality of life, all without the downtime or risks associated with invasive procedures.

This protocol often serves as a foundational step in a comprehensive care plan, helping patients stabilize their pain and prepare their bodies for long-term recovery. When surgical intervention is needed, our team works in close partnership with fellowship-trained endometriosis surgeons to ensure every patient receives coordinated, whole-person care from prehab through post-surgery rehabilitation.

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Restoring Your Quality of Life

Endometriosis Excision Surgery with PRM

Our data shows that endometriosis patients who undergo excision surgery with PRM experience enhanced surgical outcomes, which are directly related to quality of life improvements:

86% of patients reported a statistically significant reduction in their endometriosis pain
59% of patients reported a reduction in their use of opioids to manage their endometriosis pain
67% of patients reported they no longer needed to visit the emergency room to manage their endometriosis pain

These outcomes reflect more than symptom control; they demonstrate the impact of addressing both the disease and its full-body effects.

Patients who participate in the PRM Protocol™ prior to excision surgery also experience improved surgical outcomes, as pre-treatment helps calm inflammation, optimize tissue health, and reduce pain amplification patterns. By combining surgical precision with structured pelvic pain management before and after surgery, PRM supports more durable, sustainable relief. Learn more about the outcomes.

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Where Surgical Precision Meets Comprehensive Pelvic Pain Care

The PRM Center of Excellence Difference

Evidence-Based Care

Every treatment plan at PRM is grounded in clinical research, outcomes data, and years of specialized experience in pelvic pain and endometriosis care. We continuously evaluate our results to refine protocols, improve surgical outcomes, and ensure patients receive care supported by measurable evidence — not guesswork.

Multidisciplinary Expertise

Endometriosis impacts more than one organ system, and effective treatment requires more than one perspective. Our model integrates fellowship-trained excision surgeons, pelvic pain specialists, and structured rehabilitation protocols to address both the disease and its widespread effects on the body.

Patient-Centered Approach

Endometriosis is often misunderstood and dismissed. At PRM, patients are heard, validated, and taken seriously. We design individualized treatment plans based on each patient’s symptoms, goals, and long-term health — because no two cases are the same.

Lifelong Follow-Up

Surgery is not the end of care — and symptom management is not a one-time visit. PRM provides ongoing follow-up and structured long-term support to help prevent recurrence patterns, manage flares, and protect quality of life over time.

Nationwide Access

With locations across the country, PRM delivers consistent, coordinated care regardless of geography. Our nationwide collaboration ensures patients have access to specialized expertise, standardized protocols, and continuity of care wherever they are.

Find Healing with PRM

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At PRM Centers of Excellence nationwide, we take pride in our team of fellowship-trained gynecologic and endometriosis excision surgeons. Their extensive training and experience in handling complex surgery cases have equipped them with expertise not commonly found in treating endometriosis and other pelvic pain conditions. Having met with hundreds of patients suffering from this debilitating condition, our surgeons possess the knowledge and skill necessary to provide optimal healing and care.

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