Design: A survey was electronically distributed to 22 Canadian minimally invasive gynaecologic surgery (MIGS) fellows by the Canadian Society for the Advancement of Gynaecologic Excellence (CanSAGE).The questionnaire was modified from a pre-validated survey used to assess practicing gynaecologists’ comfort in surgically managing endometriosis.

Setting: N/A.

Patients or Participants: MIGS fellows in Canada.

Interventions: A pre-validated questionnaire.

Measurements and Main Results: The survey response rate was 77% (17/22). All fellows felt that they were adequately trained to treat endometriosis medically. Only 75% felt that their training adequately prepared them to offer surgical management of endometriosis. Surgically, 87.5% and 75% of MIGS fellows felt comfortable offering surgery to patients with stage 1-2 disease and stage 3-4 disease respectively. Of those who did not feel comfortable performing excision for stage 3-4 disease, 25% did not plan to refer to someone trained in advanced excision of endometriosis. All respondents planned to treat endometriosis laparoscopically via excision. The most common barriers that were identified in offering complete laparoscopic treatment of endometriosis include a lack of OR time, lack of access to consulting services (general surgery and urology), lack of access to adequate preoperative imaging, and inadequate surgical fees.

Conclusion: Not all Canadian MIGS fellows are comfortable in the surgical management of endometriosis, indicating intrinsic differences between programs. Further research is required to determined how training can be improved so that Canadian patients with endometriosis can receive optimal surgical management.