Hi - I agree with Jessie, it depends on who is performing the surgery. I have had both. I don't know if I really noticed a difference in either or. I do know when I had surgery by an endometriosis specialist though, not just a regular gyno, I did feel much better. So I would definitely chat with your doctor about it to see which would be best for you 😀 Hope you are having a good Thursday! -Kimberli (Team Member)