FELLOWSHIP - HARVARD MEDICAL SCHOOL (BRIGHAM AND WOMEN'S HOSPITAL) 1998
RESIDENCY - UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER - HOUSTON 1996
MEDICAL SCHOOL - UNIVERSITY OF NAPLES FEDERICO II - NAPLES 1990

2007 Best Video "Conventional Laparoscopic Myomectomy with Robotics Reconstruction: A Safe Hybrid Procedure for Large Myomata"
American Society for Reproductive Medicine

2011 Daniel F. Kott Award
"Robotic Myomectomy with Flexible CO2 Laser"
American Association of Gynecologic Laparoscopists Excellence in New
Instrumentation

2012 Best Video "Single Incision Laparoscopic Myomectomy"
American Society for Reproductive Medicine Technical Achievement
in Video, Surgery

2013 Physician Recognition Award for Clinical Innovation.
Brigham and Women’s Physicians’ Organization
Pioneering work in Gynecologic Robotic Surgery

2013 In-Training Award
American Society for Reproductive Medicine for Research (MENTOR)

2015 Daniel F. Kott Award
"Single-Incision Robotic Myomectomy: A Step by Step Tutorial"
American Association of Gynecologic Laparoscopists Excellence in New Instrumentation

2017 Best Video
"Robotic Single Site Adenomyomectomy with Flexible CO2 Laser"
American Society for Reproductive Medicine Technical Achievement
in Video, Surgery

2016-2024
ASRM STAR AWARD
American Society for Reproductive Medicine - Awarded to ASRM members who present in at least 9 of the past 10 annual meetings

2022
ASRM Service Milestone Award
American Society for Reproductive Medicine - Awarded to ASRM members who serve on the Society’s Board and/or Committees for 10 consecutive years.

2022
25-Year Honoree - Brigham and Women’s Physicians’ Organization
Awarded to BWH medical staff members with 25 consecutive years of service.

2023
First Prize, Scientific Poster "Comparing Different Quantitative Approaches to Establish Virtual Reality Simulation Benchmarks for a New Surgical Robot."
American College of Surgeons - ACS/AEI Surgical Simulation Summit

2013-2026
TOP DOCTOR Castle Connolly

2013-2026
TOP DOCTOR Boston Magazine

Currently still accepting all major insurances.

Endometriosis is radically excised with sparing of pelvic nerves. Adhesions are removed. Endometiomas are tackled with extremely personalized approach depending on reproductive phase.

GnRH analogues (agonists/antagonists) have limited role in the management of patoents with symptomatic endometriosis (pre-op pain control for short-term when immediate surgical access is not available). No long term role.
In IVF, GnRHa can be used for suppression of adenomyosis before embryo transfer.

Hysterectomy does not cure endometriosis and will not impact endometriosis-related pain. It certainly does not prevent recurrence. Hysterectomy can be appropriate for women who have highly symptomatic adenomyosis and have completed childbearing.

I have started the benign robotic gynecologic surgery program at Harvard Medical School in 2006 (first academic center in New England to do so) and have never looked back. In my opinion, laparoscopic surgery is significantly inferior to robotic surgery in endometriosis for the following reasons.
1) ergonomics (surgeon remains less tired during the operating day and is also able to operate for more years, when the accumulated experience usually meets with a body that is vexed and weakened by conventional laparoscopy)
2) three-dimensional vision, tremor control, ambidexterity, nonreliance on assistants (four arm control by main surgeon)
3) availaibility of high level CGI simulation to achieve technical perfection on the machine (learning culve gets to be partially de-copupled form patient risk).
... and many more rerasons (I have written many chaoters and journal article on the topic that you can easily find through generative AI).
However: a big caveat is that under 500 cases a robotic surgeon is considered within his/her learning curve. I have done over 2000 cases as of today, so I have gove over that learning curve 4 times! Do your math.

I make universal use of pelvic PT specialists and highly skilled ultrasonographers and MRI radiologists. I refer for Urology, CTS and CRS consultations as needed (I pre-stage every patoent, so I know which specialist is needed. I use reproductive psychologists routinely if patoents do not have their own therapist of strong support system.

All of my patoents undergo specialized endometriosis US and endometriosis MRI. We pre-stage all patoents.
Bowel endometriosis is shared with specialized robotic CRS who intervene after I open up safely the access to the bowel. We perform shaving, discopid resection and segmental resection depending n many factors.
Urinany cases including large bladder nodules excision, ureterolysis, ureteral excision an reimplantation are done with teh help of specialized reconstructive robotic urologists.
Thoracic cases are planned with Robotic VATS with specialized robotic CTS.

I ALWAYS follow patoents longitudinally: I do npt sign off on endometriosis patoents and manage them with progestins to limit the risk for recurrence.

Follow me on Insta @antoniogargiulomd