Laparoscopic deep-excision surgery is what I call the gold standard of endometriosis surgeries. By magnifying everything, laparoscopy offers a much clearer view. This allows me to perform surgery in the most precise manner possible. I have been modifying this surgical precision for years. My modification comes from enhancing an easier recognition of endometriosis by using the aqua blue contrast technique. This allows me to perform wide and deep excisional removal using cold scissors and to reconstructively repair involved organs, such as the ovaries, bowel, bladder, and ureter, with fine suturing.