Dr. Garza

I had the exact same situation with him! Done nov 3rd. Mine was way worse than we expected and he stopped by in person the next day to check in on me in recovery. Sounds minor but it blew my mind that I saw him in person. And amanda is great. She listened to me and suggested I also see their parter colo-rectal specialist just in case. She was RIGHT and the other specialist was able to jump on the same surgery and un-fuck my colon. (All stuck from endo.) A++ highly recommend and am glad you’ll see them!

I had great experiences with him in 2021, but I can totally believe that he’s probably over scheduled himself and is not as good as he used to be. I’m sorry you’ve felt unable to share that! My initial excision and partial hysterectomy with him was great, including him checking in on me personally the next day. I also thought his colorectal surgeon did well. I happened to see the urologist for kidney stones already. So magically saw most providers. But the endo grew back and I was looking at another surgery. He was pretty hesitant until the endo was visible growing through the vaginal cuff (theoretically a “rare” complication, idk). I got a second opinion from Dr Jukes. She was also all “endo can’t just be managed by surgery” until she looked in my vagina. lol. Her colorectal surgeon seemed nice enough. I was fully prepared to have her do another excision. I ended up having to move, so I can’t speak to a resolution at this time. Waiting to see docs in my new location. Keep advo

I think she’s the only jukes in town, but she’s blonde and has westlake and lakeway offices. The clinic also offers a A LOT of aesthetic related treatments, but their medical stuff seems to be on point. I have a friend who sees her for her hysterectomy and continued endo care and loves her. Wild to hear about another person with the cuff endo! I could tell Dr Garza was like, personally upset when he heard it was confirmed. So I took that as a good sign, so maybe he’s learning some new things. I miss his nurse. Amanda Armond was awesome. You should look her up and see if she’s practicing with a specialist. She was the one who just listened to me and went ahead and told me to book the colorectal surgeon, and we did need him. One of the complicated things about endo is I think we are only just now starting to learn anything useful about it. And that education hasn’t made it to most regular gynos.

So this is something that my surgeon (Dr. Devin Garza) did address briefly, and if I remember correctly, he removed my adhesions and then washed the areas with platelet-rich plasma, which is supposed to reduce the chance of the organs fusing back together. Here's some info about it! https://centerforendo.com/adhesions-update#:~:text=Plasma%20is%20the%20blood%20product,excision%20of%20endometriosis%20and%20adhesions.

A mortifying story about endo on the bowel AND a suggestion for those of you who don't need birth control I'll try to keep this short. I was diagnosed with stage 2 via lap (by Dr. Garza in Austin) last July. I don't want kids and my husband had already had a vasectomy, so Garza agreed to do a hysterectomy at the same time as the lap. The lesions were on my rectovaginal septum, and other than menstrual/crampy symptoms, my main symptom was 9/10 pain, severe enough to cause vomiting, immediately after a bowel movement. It wasn't daily, at least--more like weekly. I stayed on Slynd post-surgery, but began to suspect that the endo was returning back in September/October, just a few months after the surgery. By February, I was positive it was back due to some pain I'll talk about below. That same month, I saw a new gynecologist who doesn't do obstetrics at all, and she took me off Slynd due to a med conflict and put me on 100 mg of nightly progesterone. She said it would have the same effect (hopefully) as the Slynd, slowing or preventing endo regrowth, but wouldn't cause issues with my other meds. Well, my pain got worse on only 100 mg. As March/April/May went on, I began to have horrible pain immediately before a bowel movement, and the pain only got better after going to the bathroom. By June it was happening daily and I could no longer predict l when I'd need to go to the bathroom, so I literally had to walk into Ross or Home Depot or the craft store and immediately locate the restroom in case I had to rush there, clutching my belly and trying not to cry. It led to some awkward knocking on the bathroom door at times. It was mortifying. So I followed up with the gynecologist in June and also followed up with Garza later that week. The gynecologist doubled my progesterone to 200mg, and Garza was dubious that the endo could have returned so quickly and severely. They both referred me to their colorectal surgeon to rule out other issues before we discus

I had a total plus salpingectomy two years ago.  So they took my tubes, uterus, and cervix (my surgeon said with endo patients, it's best to tak the cervix with the uterus because otherwise you might still have a mini-period).  Left my ovaries alone. I have had a recurrence, as unfortunately the ovaries produce estrogen and estrogen is one of the factors that drives endo.  However, 10/10 for not dealing with periods anymore.   My recovery was very easy, and I did go to a specialist (Dr. Garza in Austin).  

Personally, if someone had accidentally nicked my intestine and landed me with a colostomy bag, I'd be going elsewhere for successive surgeries. What state/country are y'all located in? Any insurance? Maybe someone can hook you up with a specialist, depending on where you are. An endo specialist is going to be a gynecological surgeon who no longer deals with more run-of-the-mill women's healthcare like PAP smears, delivering babies, treating yeast infections, etc.--they only deal with endo and maybe similar conditions like adenomyosis. As a result, they are going to have far, far more knowledge about the issues your sis is facing than an ob/gyn just because of the sheer amount of time they will have spent in surgery. I went to Dr. Devin Garza in Austin, TX for my first lap (probably will have another this year or next) and if I remember correctly, he used platelet-rich plasma at the end of my surgery to reduce the occurrence of adhesions. Here is a study that talks about usi

Can you bear to wait and have the specialist do the whole thing?  Honestly, it'd be easier and cheaper to wait, bc then you'd only have to do one surgery.  I went to Dr. Garza in Austin for mine.  Described my symptoms and said I wanted a total hysterectomy (so leaving behind only my ovaries, and removing the uterus, tubes, and cervix) and asked if he could look for endo while he was in there.  And he did.   Whereabouts are you located (a very general location)?  If you update it in your post, maybe we can help you get together a list of specialist names.  

Thank you for sharing this! I too had a horrific experience with Dr. Garza whom I found via Nancy’s nook. My surgery was about 45 minutes and cost me almost a year of my life. When I wrote a very factual review 1 year after surgery, and offered to provide post op reports to validate, Nancy accused me of making claims, then contacted Dr. Garza without my permission, saying she needed to see what he said before allowing any version of my post to go through. That group is full of glowing reviews because sharing anything less than optimal is incredibly difficult, and possibly damaging to the patient. Posting my experience below in case anyone else is considering Dr. Garza I had excision surgery with him in March 03, 2022. If you are reading this and considering surgery with Dr. Garza, NO SURGERY IS BETTER THAN A BOTCHED SURGERY. The surgery date was a bit hectic. He felt extremely rushed, but I just thought that was normal. Surgery was quick. I had trouble waking up, I was vomiting

Nook Approved Nightmare Just wanted to share my experience with Dr. Garza, out of Austin, who I found through Nancy’s Nook. I had excision surgery with him in March 03, 2022. If you are reading this and considering surgery with Dr. Garza, NO SURGERY IS BETTER THAN A BOTCHED SURGERY. The surgery date was a bit hectic. He felt extremely rushed, but I just thought that was normal. Surgery was quick (about 45 minutes) I had trouble waking up, I was vomiting left and right, I couldn’t pee. I stayed like this for 8 hours, in the outpatient facility, until they were about to close. I was “discharged” a few minutes before midnight with Tylenol 3, actively vomiting and with a catheter still in. I couldn’t make the 10 minute car ride to the hotel without throwing up. I somehow made it through the night and went back to his office the next day to hopefully get the catheter removed. He was not there but the OB at his office was able to remove my catheter, and saw how much pain I was in, finally prescribed something stronger. I also informed all medical staff that I have Ehlers Danlos Syndrome and to be careful positioning me, with my jaw etc as joints slip and dislocate easily. I was unable to use the right side of my waist for well over 3 weeks after surgery (I’m talking I had to buy a bidet because i couldn’t pivot my waist AT ALL). However I was positioned and/or handled caused injury to my ribs. I was also left with a massive black and blue bruise on my pubic bone that hurt for months afterwards with any pressure near it, which was dismissed by Dr. Garza. Fast forward to 6 months later and I was in worse pain than before surgery. This was waking up at 2 am to vomit level pain. I reached back out to Dr. Garzas office, where the next step was either another excision or hysterectomy, and who couldn’t be bothered to get me into the surgery schedule until 2023. I was in unbearable pain constantly, and each cycle brought worse pain than the cycle before. I found another surg

Nook approved nightmare Nook Approved Nightmare Just wanted to share my experience with Dr. Garza, out of Austin, who I found through Nancy’s Nook. I had excision surgery with him in March 03, 2022. If you are reading this and considering surgery with Dr. Garza, NO SURGERY IS BETTER THAN A BOTCHED SURGERY. The surgery date was a bit hectic. He felt extremely rushed, but I just thought that was normal. Surgery was quick (about 45 minutes) I had trouble waking up, I was vomiting left and right, I couldn’t pee. I stayed like this for 8 hours, in the outpatient facility, until they were about to close. I was “discharged” a few minutes before midnight with Tylenol 3, actively vomiting and with a catheter still in. I couldn’t make the 10 minute car ride to the hotel without throwing up. I somehow made it through the night and went back to his office the next day to hopefully get the catheter removed. He was not there but the OB at his office was able to remove my catheter, and saw how much pain I was in, finally prescribed something stronger. I also informed all medical staff that I have Ehlers Danlos Syndrome and to be careful positioning me, with my jaw etc as joints slip and dislocate easily. I was unable to use the right side of my waist for well over 3 weeks after surgery (I’m talking I had to buy a bidet because i couldn’t pivot my waist AT ALL). However I was positioned and/or handled caused injury to my ribs. I was also left with a massive black and blue bruise on my pubic bone that hurt for months afterwards with any pressure near it, which was dismissed by Dr. Garza. Fast forward to 6 months later and I was in worse pain than before surgery. This was waking up at 2 am to vomit level pain. I reached back out to Dr. Garzas office, where the next step was either another excision or hysterectomy, and who couldn’t be bothered to get me into the surgery schedule until 2023. I was in unbearable pain constantly, and each cycle brought worse pain than the cycle befo

Thank you for taking the time to read my novel lol I’m so so sorry you had to go through all of that to find good care. I very much relate to pain being worse than before after the first surgery. This is not care, this is harm, and my mind is blown that this is that standard that’s acceptable. Ironically Nancy often posts about how a hysterectomy does not cure endo, yet that’s what her nook approved surgeon recommended?! She also talks about how birth control doesn’t cure endo, yet that’s what Dr. Garza pushed (Lupron) after my surgery. Her minions don’t even follow her rhetoric. I’m SO glad you went beyond the Nook and are seeking good care! You absolutely deserve it. I will look into filing a HIPPA complaint as well!

Thank you for your insight. Dr. Devon Garza in Austin Tx did my surgery and he is the best and one of the pioneers of the excision surgery I had. I also had endo on my bowel and bladder and it was wrapped around my appendix. My appendix was removed as well. He said he think he removed almost 100% of it. He is empathetic and fantastic so if you need an excision surgery with how bad mine was, I would say go to him. He left all of my female anatomy intact and I was a mess with cysts and endomatriomas everywhere.

Oh my goodness. Best of luck to you! I hope you find the right excision specialist. 🙏🙏💕💕 I had a colorectal surgeon there to remove the appendix. I also had a benign mass in my peritoneum, which is why I had both surgeons. The mass was the size of a grape fruit) His name is Thiru Lakshman. They work together ALOT. So they both did the surgery at once and dr. Lakshman removed the appendix as well. Dr. Garza removed all of the endometriosis in other places. Best of luck to you! I hope you get the excision surgery you need! ☺️

Thank you for the info and all of the references above. I had excision surgery for my endo. It was on my bladder, bowel, and my ovaries we’re attached to my uterus. He removed all of it. My surgeon was DR. Devin Garza and he is also one of the pioneers of the endo excision surgery. My appendix was removed because the endo was wrapped around it. I also had a benign mass the size of a grapefruit in my peritoneum that was also removed. But…there seems to be no answers for management and treatment outside of surgery, birth control, or a hysterectomy if the symptoms come back. I truly feel endo is an auto/immune condition and manifests in the fallopian tubes and ovaries, but there is so much more to it than that. We have years before we get there though and it’s just a shame most of us have to suffer in the interim.

Dr. Devon Garza is an excision endo surgeon and stays up to date on information he even has lectures online/you tube. He is very compassionate and listens. Fantastic bedside manner. He removed my endo last January. I have stage iv. It was on my bowel, peritoneum, bladder and my appendix was removed by a colorectal surgeon at the same time. I also had a benign mass in my peritoneum that had to be removed by the colorectal surgeon as well. But he excised all of the actual endo. Hope this helps.

I did! However, I ended up going to Austin. His name is Dr. Devin Garza at Texas Robotic Surgery for Women. He performed my first surgery and I went back to him for my hysterectomy earlier this year. The nurse and nurse practitioner there are amazing and so kind! They never made me feel silly for calling and asking a million questions. Overall, I highly recommend him if you’re able to make the trip to Austin.

I believe he accepts all major insurances. I had a BCBS HMO plan for my first surgery and I had Aetna at the time of my hysterectomy, and he accepted both. The biller/surgery scheduler is also extremely nice and helpful, so there were never any issues or confusion with billing, which was great!

Haha, yes we do! Yes, he did perform my excision surgery, as well. So I don’t have another surgeon to compare him to, but based on my experience and understanding, he is a great surgeon. I researched surgeons for months and he came the closest to what I was looking for (in Texas).

I had surgery with Garza in April of this year, and while I did not have the level of horror you had, I consider my experience to have been negative. Initially I was really surprised and encouraged by how seriously he took my reported dyspareunia, which I always considered just a secondary symptom and don’t think much of it but he was really validating about wanting to “fix” that for me. Looking back, I think it’s kind of weird how much he focused on that. I have 3 kids and so his initial rec was hysterectomy which I was not up for, even though we don’t want more babies, that just felt really final. So we proceeded with excision and he did not find much endo. He said Stage 1 mostly but I had a lot of pelvic adhesive disease which indicated to him that I probably had a lot more microscopic implants in there which was caused all the post inflammatory changes and adhesions, so he classified as Stage 2. My recovery was a LOT harder than I expected. I’ve had 3 unmedicated vaginal births

Hey, I’ve seen you post this experience elsewhere before. I also had a bad experience with Dr. Garza’s office. If it’s okay with you, I’d like to get in touch with you about it. And I thought about posting my experience to Nancy’s Nook, but I learned that he’s actually a member of the group and that it’s become basically a PR machine for the “preferred” surgeons.

Are you me? This literally sounds just like my experience with Dr. Garza. I was also experiencing the same pain I had prior to surgery, and I kept getting referred out to other specialists because the NP wouldn't acknowledge that he might not have gotten everything. I'm actually also seeing Dr. Breen now for even more of a weird coincidence. Same thing: vaginal ultrasound found something that was missed at Dr. Garza's appointment. And I also have a lot of bowel issues. Would it be okay if I messaged you privately about your experience? This is all just way too similar.

I found this updated [Map](https://www.theyellowhub.org/map?fbclid=IwAR1HBnhwqQ9Ju26vpztnkAE9Gn-yGRWMIo4mliVLgXhY5rDsCqRKN9Zsyjw_aem_AUPbzGllYGHE-zfeQxvmxsiFdteUhJOHnHgndOqEMoU_fctF91q5dp8tJ5_B-1d6h1c&mibextid=Zxz2cZ) last week! I have heard people say good things about Dr. Gregory Eads, MD in Houston and Dr. Stina Salazar in Austin. I have personal experience with Dr. Devin Garza, his clinic tends to be booked out though.

Two part review. Appointments & surgery I am still in the recovery phase even at 10 ish weeks out, I had several procedures done (endometriosis excision, myomectomy, hysteroscopy) Appointments You will schedule an appointment with his NP, Amanda and Dr. Garza after calling his clinic. They will be spaced out, mine was about 3 months in between. They are busy, but very nice. It’s a small clinic, with only Dr. Garza, Amanda, and staff- no other specialist. All of my virtual appointments have started late, I wish this was communicated with me when scheduling, I learned not to schedule anything important with in an hour of the appointment. First appointment went great, Amanda answered all my questions and ordered an ultrasound but no blood work (I have struggled with PCOS and requested it). She offered me birth control, I felt no pressure to take it) and recommended that I see Dr. Garza. Virtual follow-up with Amanda about ultrasound, fibroids had doubled in size and no visible sign

Adding for anyone who might find this thread searching the subreddit. Dr. Nassif did not seem to take my concerns seriously and every appointment seemed very hurried. The office staff lost my test results a few times, and it was hard to get questions answered. I decided to have surgery with Dr. Garza in Austin instead, and I had a much better experience.