Expanding access to the PRM Protocol™ and expert excision surgery for endometriosis

A PRM Center of Excellence Is Coming to San Antonio, TX

PRM is proud to expand our national network of endometriosis Centers of Excellence, bringing a new standard of endometriosis care to patients in San Antonio and the surrounding region. Our office opens for patients on April 7th, 2026 and our scheduling is now open! 

 

Request an appointment for when we open, or register to be among the first to receive updates about opening timelines, scheduling availability, and next steps for care in San Antonio!

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Expanding Access to a New Standard of Care

Why PRM is Expanding

Endometriosis care has historically been fragmented, episodic, and difficult to access – especially for patients seeking both expert laparoscopic excision surgery and long-term symptom management.

PRM has noticed that, and in San Antonio, endometriosis patients will soon have access to:

Validated, patient-centered care 

Expert excision surgery when appropriate 

Ongoing, non-operative pelvic pain management 

A coordinated care model designed to reduce repeat surgeries over a lifetime 

The expansion of PRM’s Center of Excellence reflects our commitment to meeting endometriosis patients where they are, and supporting them for the long term.

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Interested in learning more about our new team of endometriosis specialists in San Antonio? Sign up today to get updates on endometriosis treatment, our San Antonio location, and updates on when you can schedule your consultation.

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PRM Center of Excellence Understanding The PRM Protocol™ National Endometriosis Excellence San Antonio Endometriosis Specialists Who We Serve Non-Surgical Treatment Options FAQ San Antonio Provider Get on the Interest List

What Makes a PRM Center of Excellence Different

At PRM Center of Excellence, we are not just a clinic. We provide advanced care for endometriosis and pelvic pain in the United States with a unique lifetime care model that targets endometriosis and pelvic pain at the source.

Each Center of Excellence is built around a standardized approach to care that includes:

  • Deep expertise in complex and deep-infiltrating endometriosis 
  • Precision surgical intervention when necessary 
  • Long-term symptom management through the PRM Protocol™ 
  • Ongoing follow-up and continuity of care 

The goal isn’t fewer surgeries today, it’s fewer surgeries across a lifetime. 

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National Leadership. Local Care.

It is estimated that only 100–200 endometriosis surgeons nationwide can perform complex excision surgery for endometriosis. 

With the opening of our San Antonio location, PRM continues to expand the nation’s largest network of comprehensive endometriosis care, combining operative and non-operative treatment under one coordinated system. 

Patients in San Antonio will soon benefit from: 

Access to nationally recognized expertise 

Care aligned to PRM’s Centers of Excellence standards 

A local team backed by a national endometriosis clinical network 

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Fellowship-trained excision surgery and integrated pelvic pain treatment — coming to San Antonio.

Comprehensive Endometriosis Care in San Antonio — A New Standard of Multidisciplinary Treatment

Fellowship-trained excision surgery and integrated pelvic pain treatment — coming to San Antonio.

Comprehensive Endometriosis Care in San Antonio — A New Standard of Multidisciplinary Treatment

Excision surgery for endometriosis is highly technical. Pelvic pain is complex. And endometriosis is a systemic disease that affects more than one organ.

Treating one without addressing the others often leads to repeat procedures and incomplete recovery.

The PRM Center of Excellence in San Antonio is structured around a comprehensive, multidisciplinary endometriosis care model — combining:

• Fellowship-trained excision surgery
• Dedicated pelvic pain and physiatry expertise
• Long-term management through the PRM Protocol™

This is not episodic care.

It is coordinated, lifelong endometriosis treatment designed to reduce repeat surgeries across a lifetime.

Watch as our clinical leadership explains why comprehensive care is the future of endometriosis treatment in San Antonio.

Endometriosis Patients Deserve Comprehensive Care

Who This Center Is Designed to Serve

At PRM’s Center of Excellence, we are proud to provide advanced endometriosis care to patients at any point in their endometriosis treatment journey. From patients who recently got diagnosed to people who have been battling endometriosis for a long time and are looking for long-term management instead of episodic care.

If you have been recently diagnosed with endometriosis, our Center of Excellence provides expert guidance and care to help you decide what endometriosis treatment option is right for you.

We go beyond care and provide you with the tools and resources to give you a better understanding of endometriosis, advocating for yourself, and understanding the treatment option that best suits you.

In the U.S., it takes an average of 7–10 years to receive a proper diagnosis for endometriosis. During that time, the disease may progress and cause additional complications that many health professionals and patients may be unaware of.

At PRM, Our surgeons are fellowship-trained in Minimally Invasive Gynecologic Surgery (MIGS) and focused exclusively on endometriosis care.

Endometriosis is not one of many procedures we perform: it is our singular surgical focus.

Our Centers of Excellence provide pelvic pain treament after surgery through our exclusive PRM Protocol™.

Whether you received surgery from one of our surgeons or someone else, we will continue care with a structured post-hab protocol that helps restore function and relieve lingering pain. The PRM Protocol™ helping helps you return to baseline faster and improves your quality of life post-surgery.

If you are looking for more comprehensive, long-term care for your endometriosis our team will be by your side every step of the way.

We will help you understand your options, and help you pick the right option that fits into your current season of life.

Whether you want long-term symptom relief through the PRM Protocol™, or discuss options for surgery – we are here for you.

Non-surgical treatment for endometriosis

How The PRM Protocol™ Helps Endometriosis Patients

At PRM, we specialize in treating the full spectrum of endometriosis symptoms – not just through endo laparoscopic surgery, but also by addressing the chronic pain and pelvic dysfunction that is often at the core of this condition. Our unique PRM Protocol™ is a pioneering, non-surgical treatment path designed to reduce pain, improve surgical outcomes, and support long-term healing.

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Specialized, collaborative care for endometriosis and pelvic pain — all in one coordinated system.

Meet Your San Antonio Care Team

Endometriosis Excision Surgeon

Sonia Koshy, MD is a minimally invasive gynecologic surgeon dedicated to caring for patients with endometriosis, pelvic pain, and complex gynecologic conditions. Her approach begins with listening—taking time to understand each patient’s symptoms, goals, and experience before developing an individualized plan of care.

Dr. Koshy uses detailed pain mapping exams and advanced imaging to guide treatment decisions and collaborates with other specialists when endometriosis involves multiple organ systems. When surgery is appropriate, she works closely with patients to create a comprehensive plan that aligns with their fertility goals and includes thoughtful pre-operative, surgical, and post-operative care.

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Pelvic Pain Specialist

Tiffany Gomez, MSN, APRN, FNP-C is a Family Nurse Practitioner specializing in women’s health, hormonal care, and chronic pelvic pain. Her approach centers on listening, validating patient experiences, and providing evidence-based, individualized care—especially for patients who have spent years feeling dismissed or undertreated.

Tiffany is passionate about helping patients with endometriosis and pelvic pain feel believed, supported, and empowered. Aligned with PRM’s mission, she believes pelvic pain should be recognized and treated early, not normalized or ignored. She advocates for collaborative, multidisciplinary care to reduce symptoms and improve long-term outcomes.

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Fellowship-Trained Excision Specialist

Our San Antonio excision surgeon is fellowship-trained in advanced endometriosis surgery, with specialized expertise in identifying and removing complex disease while preserving healthy tissue. Endometriosis laparoscopic surgery is a highly technical procedure that requires precision, anatomical knowledge, and experience treating deeply infiltrating endometriosis.

Dedicated Pelvic Pain & Endometriosis Expert

Pelvic pain affects more than one organ — and often more than one system. Our pelvic pain specialist in San Antonio focuses on diagnosing and treating the musculoskeletal, nerve, and inflammatory components of pelvic pain.

The PRM Center of Excellence in San Antonio is opening soon.

Be the First to Know

Our office opens for patients on April 7th, 2026 and our scheduling is now open! 

 

Request an appointment for when we open, or register to be among the first to receive updates about opening timelines, scheduling availability, and next steps for care in San Antonio!

 

Join the interest list by filling out this brief form below:

 

Stay Updated on PRM San Antonio

Sign up to be the first to know when scheduling opens and care becomes available in San Antonio.

Optional, but helpful if you prefer a call.
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