 Hello friends, endometriosis. Endometriosis has a huge magnitude of problem globally. Nearly about more than 2 crore of Indian women are suffering from the endometriosis. Let us have a brief review about the endometriosis. I am Dr. Bala Jinalwadri, laparoscopic surgeon, head of the gynecology department at Manipal Hospital Baner Pune with specialization in endometriosis and fibroid management with more than 22 years of clinical experience. Endometrium is the innermost lining of the uterus which is been shed out during every menstrual period. When this endometrium grows outside of the normal uterine cavity, the condition is called endometriosis. The endometriosis can occur in the ovaries or fallopian tube or the neighboring organs which are there next to the uterus. Nearly about 50 percent of the women with early stage disease may not have any signs or symptoms. They are diagnosed while we are evaluating for their infertility. Whereas, in other women's there may be symptoms in the form of painful periods, excessive bleeding during the period, heavy menstrual flow, painful intercourse and bloating sensation. In advanced stage disease also called deep infiltrating endometriosis, pain may be chronic or severe making a lady to carry out her day to day activities difficult and poor quality of life that may result because of the deep infiltrating endometriosis. So, endometriosis is it a cancer? No, endometriosis it is not a cancer, but it behaves like a cancer. It spreads to the neighboring organ like a cancer like urinary bladder, intestine or the urinary tubes that are called ureters and that can result into serious problems. Regarding management, early stage disease can be managed with medicines only. Surgery can be the option for those women who are desirous for having the child and there is an infertility because of the endometriosis. So, we can do the minimal access surgery to enhance the fertility of a lady and give positive pregnancy. Sometimes, laparoscopy or minimal access surgery may be the only option for those ladies who are having severe and non-variable pain making their poor quality of life. So, by doing the surgery, we can give them good quality of life and complete pain relief by doing the laparoscopic surgery. So, we have started for the first time in the Pune City Specialized Endometriosis Clinic at Manipal Hospital in Banyur and we have all advanced set of instruments and equipments which are required to perform all sort of complicated surgeries for those women who are having deep infiltrate, deep infiltrating endometriosis which are involving the intestine or the rectum or the urinary bladder. Thank you.