Dr Noel and Dr Bergmann have been practicing minimally invasive surgery since the 1980's. They have long believed that the smallest incisions and the least manipulation of tissues will enable patients to recover more quickly and successfully from surgery. In 2009 they added da Vinci Robotic surgery to their repertoire. They have been impressed that patients seem to have even less pain and are able to get back to normal activities even more quickly than their least invasive laparoscopic surgeries. They are currently using the da Vinci robot for hysterectomies, myomectomies, severe endometriosis, and severe abdominal and pelvic adhesions. They expect to do more of these surgeries as new equipment becomes locally available.