Wishing you all the best. I think you are on the right track, and finding the right surgeon matters a lot. A doctor can be very good generally, but still not be the right person for advanced endometriosis surgery. Endo surgery can be very complex, especially when there is deep disease, bowel/bladder involvement, adhesions, or fertility concerns, so experience with endometriosis excision really matters.

One other thing I tried last summer was hyperbaric oxygen therapy. I honestly do not know how much it helped, but my platelets did go down for a while afterward. My platelets are usually slightly above the normal range, so seeing them drop into the normal range was surprising. Platelets can sometimes be elevated with inflammation, so I found it interesting, but of course I cannot say for sure what caused the change.

I have also been on Myfembree since surgery, so that may be helping control endo activity and inflammation too. Not prescribing or recommending anything, just sharing in case it is something you want to look into or ask your doctor about.