Jandra Mueller is a pelvic floor physical therapist in San Diego and the incoming educational chair for ISSWSH — and she spent years getting her own endometriosis diagnosed, even with direct access to specialists. She and Dr. Rahman break down the pelvic pentad, why fibrotic endometriosis survives excision surgery, what mast cells have to do with nerve proliferation, and the real difference between a surgeon who does excision and one who actually specializes in endo.