I know this may be a lot to take in but if you have read a lot about endo, you'll know basically that a lot of the pain is caused by adhesions in the pelvis from tissue that has bled, as it causes organs or tissue to matt together.
Basically some people are ok after surgery and recover well, and others don't and they have done a lot of research into this. Apparently, women whom are less likely to recover and to form adhesions as a result of the op (which can often be the source of pain-not endo) again are those that don't get active after surgery and whom have poor circulation and inflammation/infection post op. So they reckon now that a course of anti biotics immediately following surgery for a week prevents infections. For the inflammation, women should take NSAIDS for up to two weeks after surgery (from immediately after) to keep inflammation down.
The adhesions are formed by fibrous tissue which attaches itself to other surfaces. This tissue is formed by fibrinogen, and if your levels of fibrinogen are higher after the op, then you have more chance of forming adhesions from where the surgeon has cut tissue out--as he creates a raw surface. Apparently lasering the surface after cutting also causes inflammation and the surgeon must therefor avoid lasering everything in site and just cauterise the major bleeding areas only.
Now in my research, I do know that one natural supplement you can take which reduces inflammation AND infection AND actually eats at dead tissue such as adhesions and fibrin os Bromelain. High doses (500mg) three days prior to surgery and up to 2-3 weeks after surgery, will lower and keep the levels of fibrinogen down. Also bromelain (preotease enzyme) increases blood circulation, so it speeds healing. You can also take bromelain with quercetin and they both reduce inflammation better than NSAIDS it has been found.
There is a good article here:
http://www.positivehealth.com/permit/Articles/Womens Health/price62.htm
I plan to take bromelain prior to surgery and for several months afterwards to help with my healing. Bromelain is from the pineapple stem, and you can eat raw pineapple, but the canned variety is said not to have the enzyme in due to the heat cans are exposed to in processing. I think you'll fiind that if you research key words like fibrinogen and bromelain together, you will find a ton come up that you can research and chase up for your future reference should you need surgery again.
I think it is just a case of arming yourself with the knowledge and working at prevention. That and getting a good surgeon who will work at removing as much of the endo as possible. I do wonder though if bromelain would actually help to reduce endometriosis because apparently the protease enzyme eats any type of dead tissue in your body--and has a positive effect on circulation anyway--so to my mind that has got to be good where ridding yourself of excess estrogen from the liver is concerned.