• Houston, TX

Gynecologic Surgeon & Endometriosis Excision Specialist

Brooke Thigpen, MD

Dr. Brooke Thigpen will be joining PRM’s Houston Center of Excellence in September 2026. Stay tuned.

Dr. Brooke Thigpen is a board-certified minimally invasive gynecologic surgeon joining Pelvic Rehabilitation Medicine in Houston, Texas, in September 2026. She specializes in the surgical evaluation and treatment of complex gynecologic conditions, with a particular focus on endometriosis, pelvic pain, and advanced minimally invasive gynecologic surgery.

Dr. Thigpen completed a fellowship in Minimally Invasive Gynecologic Surgery at Baylor College of Medicine, following her residency in Obstetrics and Gynecology at Baylor. She is board certified by the American Board of Obstetrics and Gynecology and is trained in advanced laparoscopic and robotic surgical techniques.

Her clinical and academic work includes the surgical management of endometriosis and pelvic pain, including advanced techniques for deep infiltrating endometriosis. Her research has explored robotic-assisted ureterolysis for deep infiltrating endometriosis and other minimally invasive approaches to complex gynecologic surgery.

She has presented and lectured nationally on endometriosis, pelvic pain, minimally invasive gynecologic surgery, and advanced surgical techniques, including a presentation on a multidisciplinary approach to endometriosis excision and a lecture on endometriosis and pelvic pain evaluation and management at MD Anderson Cancer Center.

At PRM, Dr. Thigpen will bring her expertise in advanced gynecologic surgery to PRM’s multidisciplinary approach to endometriosis and chronic pelvic pain, working alongside pelvic pain specialists to help patients receive comprehensive care before, during, and after surgery.

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Get To Know Your Provider

Education & Training
Florida Atlantic University Charles E. Schmidt College of Medicine – Doctor of Medicine (MD)

University of Florida – Bachelor of Science in Biology, Cum Laude, with a Minor in Communications

Baylor College of Medicine – Residency in Obstetrics and Gynecology, including service as Administrative Chief Resident

Baylor College of Medicine – Fellowship in Minimally Invasive Gynecologic Surgery (MIGS)

Experience & Leadership
Board-Certified Obstetrician-Gynecologist (ABOG)

Assistant Professor, Division of Minimally Invasive Gynecologic Surgery, Baylor College of Medicine

Fellowship-trained in Minimally Invasive Gynecologic Surgery (MIGS)

Co-Director of Baylor College of Medicine’s OB/GYN Residency Robotic Surgery Training Curriculum

Extensive experience in advanced laparoscopic and robotic-assisted gynecologic surgery

Published researcher and national presenter on endometriosis, chronic pelvic pain, and minimally invasive gynecologic surgery

My approach begins with truly listening: understanding each patient’s symptoms, history, and personal goals so we can build a treatment plan designed around her rather than a one-size-fits-all protocol. I value an empathetic approach, mindful that many have waited years to feel heard. Endometriosis care is complex and many times I will utilize a multi-disciplinary approach. This typically includes endometriosis excision surgery alongside surgical sub-specialists (i.e. colorectal surgery, urology) if indicated, pelvic floor rehabilitation to address co-morbid pelvic floor disorders, and collaboration with reproductive endocrinologists to optimize fertility outcomes if this part of the patient’s goals of care. Above all, I want my patients to feel like partners in their care. Endometriosis can be an isolating and exhausting journey, and my goal is to combine surgical expertise with genuine understanding so that each patient feels informed, supported, and hopeful about the path ahead.

For far too long, women have endured years of delay before endometriosis is recognized and treated, and every one of those years carries real suffering. PRM’s mission speaks directly to why I do this work: as a team of endometriosis specialists, we are committed not only to reaching an accurate diagnosis sooner, but to meaningfully reducing our patients’ pain so they can reclaim their quality of life.

Endometriosis excision surgery can be extensive and recovery can be challenging. Years of chronic pelvic pain have left the pelvic floor muscles inflamed, tight, and guarded. Addressing this with pelvic floor rehabilitation before surgery helps prepare the body, while rehabilitation afterward rebuilds strength and mobility so patients can return to daily life more quickly. Surgery removes the disease, but it cannot undo how endometriosis has affected these muscles over time, which is why rehabilitation is an essential part of a complete treatment plan and lasting relief.

I completed my fellowship in Complex Benign Gynecology at Baylor College of Medicine, where I received specialized training in advanced minimally invasive gynecologic surgery, with a particular focus on complete endometriosis excision. My fellowship reinforced the importance of a coordinated, multidisciplinary surgical approach to achieve the best possible outcomes for patients with complex endometriosis. As a high-volume minimally invasive gynecologic surgeon, I bring extensive experience in performing complex laparoscopic and robotic procedures. While practicing academic medicine, I trained fellows, residents, and medical students, and I was honored to receive resident teaching awards for my commitment to education and mentorship. In addition to my surgical training, I served on various hospitals’ Patient Quality and Safety Committee, reflecting my dedication to providing safe, evidence-based, and compassionate care. My goal is to combine technical expertise with thoughtful, individualized treatment so that every patient feels heard, supported, and confident in their care.

I perform approximately 200 to 250 complex gynecologic surgeries each year

I perform complete excision of endometriosis across all stages, from stage 1 through the most advanced stage 4 disease. Because endometriosis can extend well beyond the reproductive organs, I work closely with a multidisciplinary surgical team, including colorectal surgeons, urologists, and thoracic surgeons as needed, to ensure that all disease is removed.

When preserving fertility is a patient’s goal, it becomes a central part of my surgical planning. My objective is to remove endometriosis and other surrounding disease as completely as possible while carefully protecting the uterus, fallopian tubes, and ovaries. Achieving this requires meticulous surgical technique and a deep understanding of complex pelvic anatomy. I take a thoughtful, individualized approach to each operation, balancing thorough disease removal with preservation of reproductive organs to help optimize both symptom relief and future fertility potential. I also work closely with fertility specialists when needed to ensure each patient receives coordinated, comprehensive care that aligns with their reproductive goals.

I believe that every patient deserves an individualized approach to their care. Endometriosis can affect each person differently, so I take the time to listen to my patients, understand their symptoms, goals, and priorities, and develop a treatment plan through shared decision-making. Whether a patient’s priority is pain relief, preserving fertility, or improving quality of life, I want them to feel informed, empowered, and actively involved in every step of their care.
I am also passionate about advancing the care of patients with endometriosis through ongoing research and innovation. Endometriosis is a complex disease, and continued research is essential to improving diagnosis, surgical techniques, and long-term outcomes. I believe patients benefit most when their care is grounded in the latest evidence while remaining compassionate and tailored to their individual needs.

Your Gynecologic Surgeon

Meet Dr. Thigpen

Prior to joining PRM’s Center of Excellence, Dr. Brooke Thigpen completed her fellowship in Minimally Invasive Gynecologic Surgery and her residency in Obstetrics and Gynecology at Baylor College of Medicine, where she also served as Administrative Chief Resident. She earned her medical degree from Florida Atlantic University and is a board-certified gynecologic surgeon specializing in endometriosis, chronic pelvic pain, and advanced robotic and minimally invasive gynecologic surgery.

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Healthgrades User

Dr Thigpen did an exploratory robotic procedure for my expected endometriosis. During all of my pre-op appointments she was always so kind and caring. She is one of the only doctors I have ever seen that actually listened and made me feel seen and cared for. During my procedure I was diagnosed with stage 3 Endometriosis involving my colon, intestines, and appendix. After the surgery she explained everything so well and she really saved my life. I would recommend her to absolutley anyone.

Healthgrades User

Dr. Thigpen is kind and takes the time to explain everything in detail and answers all questions. She’s thorough in your testing (biopsy and MRI). I highly recommend her if you’re dealing with Adenomyosis, Endometriosis and pelvic pain.

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FAQ's

FAQ's

Endometriosis excision surgery is an advanced minimally invasive procedure that involves carefully identifying and removing endometriosis lesions from affected areas while preserving healthy tissue. Unlike approaches that only treat visible disease on the surface, excision surgery focuses on removing endometriosis at its root to help reduce symptoms and improve quality of life. At PRM, fellowship-trained minimally invasive gynecologic surgeons use advanced laparoscopic techniques and comprehensive evaluation to develop individualized treatment plans based on each patient’s symptoms, goals, and disease severity.

Endometriosis surgery may be considered for patients whose symptoms are not adequately controlled with medications or hormonal treatments, whose pain significantly impacts daily life, or who are experiencing fertility challenges. Surgery may also be recommended when imaging or evaluation suggests deeper disease, such as endometriosis involving the bowel, bladder, or other pelvic structures. Common reasons to consider an endometriosis surgery consultation include persistent pelvic pain despite medical treatment, painful periods, painful intercourse, gastrointestinal or bladder symptoms, difficulty conceiving, or findings such as endometriomas or deep infiltrating endometriosis. During an evaluation at PRM, providers review your symptoms, medical history, imaging, and treatment goals to determine whether excision surgery is the right option for you and develop a personalized care plan.

PRM’s endometriosis surgeons specialize in advanced laparoscopic excision surgery and care for patients through a fully integrated, multidisciplinary approach. Unlike a surgery only model, PRM combines surgical expertise with pelvic pain care to address the inflammation, nerve sensitivity, and pelvic floor dysfunction that can contribute to ongoing symptoms. PRM’s fellowship-trained Minimally Invasive Gynecologic Surgeons (MIGS) have specialized training in complex excision surgery and treat advanced endometriosis, including cases involving areas such as the bowel, bladder, and diaphragm. Their approach also includes comprehensive support before and after surgery, including pelvic rehabilitation through the PRM Protocol™ to help reduce pain, support healing, and improve long-term outcomes. PRM focuses on personalized, whole-body care designed to help patients achieve meaningful relief while reducing the need for repeated procedures. Providers also evaluate patients clinically based on symptoms, medical history, and physical examination, allowing treatment planning to begin without waiting for surgical confirmation.

PRM’s endometriosis surgeons specialize in advanced laparoscopic excision surgery and care for patients through a fully integrated, multidisciplinary approach. Unlike a surgery only model, PRM combines surgical expertise with pelvic pain care to address the inflammation, nerve sensitivity, and pelvic floor dysfunction that can contribute to ongoing symptoms. PRM’s fellowship-trained Minimally Invasive Gynecologic Surgeons (MIGS) have specialized training in complex excision surgery and treat advanced endometriosis, including cases involving areas such as the bowel, bladder, and diaphragm. Their approach also includes comprehensive support before and after surgery, including pelvic rehabilitation through the PRM Protocol™ to help reduce pain, support healing, and improve long-term outcomes. PRM focuses on personalized, whole-body care designed to help patients achieve meaningful relief while reducing the need for repeated procedures. Providers also evaluate patients clinically based on symptoms, medical history, and physical examination, allowing treatment planning to begin without waiting for surgical confirmation.

Yes, endometriosis excision surgery can improve fertility for some patients by removing endometriosis lesions, treating scar tissue and adhesions, restoring normal pelvic anatomy, and reducing inflammation that may interfere with conception. The impact of surgery depends on factors such as the severity of endometriosis, age, ovarian reserve, and overall fertility health. For patients with mild to moderate endometriosis, removing visible disease may improve the chances of spontaneous pregnancy. In more advanced cases, surgery may help restore the relationship between the ovaries, fallopian tubes, and surrounding pelvic structures to support reproductive goals. At PRM, providers consider each patient’s fertility goals and individual circumstances when determining whether surgery is the right approach and how it fits into a broader fertility plan.

Recovery after endometriosis excision surgery varies depending on the extent of disease treated and each patient’s healing process. Many patients experience gradual improvement over the first several months rather than immediate relief. The first menstrual cycle after surgery (typically 4–8 weeks post-surgery) may be the most challenging, with some patients experiencing increased cramping, pelvic pain, or heavier bleeding as the body heals. By the second cycle, many patients begin noticing improvements, and within three to six months, patients often report reduced pain, improved energy, and better daily function. At PRM, recovery is supported through a comprehensive approach that combines surgical expertise with individualized follow-up care and additional treatments when needed to support long-term healing and quality of life.