Design: Intraoperative footage was edited and annotated to illustrate the key learning points of this case.

Setting: The case took place in the main operating room, with the patient placed under general endotracheal anesthesia and positioned in dorsal lithotomy.

Patients or Participants: The patient was a 36-year-old G0 who initially presented with severe right upper quadrant and flank pain occurring at the time of her menses for the last 6 months. Imaging demonstrated a small subcapsular liver lesion, otherwise abdominal and pelvic imaging was unremarkable. She was recommended to proceed with diagnostic laparoscopy.

Interventions: The surgery begins with a thorough inspection of the upper abdomen where the video highlights where endometriosis lesions are found in relation to key anatomy and where expert knowledge of the anatomy guided decision-making on whether or not to resect or fulgurate the identified lesions.

Measurements and Main Results: We then demonstrate a variety of surgical techniques for subsequent management including excision as well as fulguration with both monopolar heat sources and argon beam ablation.

Conclusion: This case highlights the importance of a thorough abdominal survey for patients undergoing diagnostic laparoscopy for cyclic pelvic and abdominal symptoms. The video also showcases the importance of collaboration with a multidisciplinary surgical team to successfully manage patients in whom right upper quadrant endometriosis lesions are identified.