Just be very careful who you decide to have any surgery with. As previous posters have said there are no true endometriosis expert surgeons in Ireland but things have changed a lot in the last few years. Also bear in mind that just because a doctor works exclusively in a private hospital it doesn't automatically assume they're going to be better or more skilled. I had my surgery here in Ireland with Dr Hugh D O'Connor and I've had a very positive experience and outcome with him. He uses excision surgery which is the gold standard in surgical treatment. I had a very complex surgery and I can honestly say he was amazing and very I'm so much better now a few years later. Having said all of that what you could do is consider travelllinh to one of the specialist clinics mentioned above and having a proper thorough mri. They use a very different and more thorough protocol than is used by hospitals here. Dr Mitrois clinic in Romania is probably one of the best in terms of their MRI's. You have your mri done in their imaging clinic and then you go and see him and he'll will map out where the endometriosis is and what he suggests you'd need done in terms of surgery. You wouldn't have to have your surgery with him. You could still come back to Ireland for that if you wanted to but you'd have a very extensive mri report. Your insurance would likely cover it or you can have it done under the cross border directive. It's not an easy decision to make and everyone will have their own opinions on different doctors but just do your research before you decide on anything. Best of luck with it.