Fundraiser
Endo Girls Need Access
Wear Your Advocacy
An apparel campaign fueling a movement for equitable, lifesaving endometriosis care. T-shirts, tanks, long sleeves, and sweatshirts printed with a bold message and a Capitol Hill icon — because that's exactly where change must happen.
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A Fundraiser with Purpose. A Mission with Impact.
This isn't just clothing. It's a call to action.
For too long, people with endometriosis have faced systemic barriers to accessing excision surgery, the gold standard for removing the disease at its root. Despite its complexity, precision, and the expertise required to perform it, excision is reimbursed by CMS at nearly the same rate — or even lower — than ablation, a far simpler procedure that burns lesions rather than removing them. Because private insurers follow CMS payment structures, this flawed federal policy has created a national access crisis.
- Excision is time-intensive, technically demanding, and requires advanced surgical training.
- Ablation, despite being less complex, receives similar reimbursement.
- Many excision specialists cannot sustainably take insurance contracts when reimbursement fails to cover the actual work involved.
- Patients are left with impossible choices: paying out-of-pocket, going out-of-network, traveling across states, or settling for incomplete care.
This is a policy-created disparity — and it requires policy-driven solutions.
🏛️ The reimbursement problem begins with federal regulation.
CMS determines how surgical procedures are valued through RVUs (Relative Value Units), which directly shape what insurers pay. When excision is undervalued:
- Patients lose access to comprehensive surgery
- Specialists are forced out-of-network
- Inequities widen for low-income patients and communities of color
- Misaligned incentives worsen misinformation and mismanagement of the disease
To fix this, Congress must push for updated CPT codes, accurate RVUs, and reimbursement rates that reflect the true complexity of excision. Without legislative attention, CMS will not correct these disparities, and insurers will continue replicating the flawed payment model.
Where every dollar goes
100% of the proceeds from this fundraiser go directly into the surgery fund to help people who cannot afford endometriosis excision surgery. Every shirt, tank, long sleeve, and sweatshirt purchased helps cover the cost of life-changing surgery for those facing financial barriers.
Endo Excision for All also advocates on Capitol Hill for reimbursement reform, elevates patient voices, educates lawmakers, develops evidence-based resources, and builds pressure for nationwide insurance coverage of excision. This advocacy work is funded by the founder and is not paid for by donation or apparel proceeds.
When you wear this apparel, you're not just raising awareness. You're helping make excision surgery a reality for someone who might otherwise go without it.
Endo Girls Need Access. Excision must be accessible. Equity must be non-negotiable.
Shop the Collection
Wear your support. Every purchase from the Endo Girls Need Access collection goes directly to the surgery fund, helping cover excision surgery for those who cannot afford it.
About Endo Excision for All
Endo Excision for All is a 501(c)(3) nonprofit dedicated to ensuring every person with endometriosis can access gold-standard excision surgery, regardless of insurance status or financial means. Founded by Nicole Notar, who endured a decade of misdiagnoses before an excision specialist removed 73 endometriosis lesions covering her entire reproductive system and four other organs, our mission is to advocate for policy change to demand comprehensive insurance coverage, educate patients and providers, and fund patient surgeries until the system change happens.