Physical Therapy After Endometriosis Excision

Inclusion Criteria: * Premenopausal * English speaking * Undergoing endometriosis excision surgery without hysterectomy at Legacy Health with subspecialty-trained surgeons specializing in endometriosis care * History of chronic pelvic pain (defined as \>= 6 months of pain in the anatomic pelvis) * Diagnosis of high tone pelvic floor dysfunction on examiniation * Have access to reliable email and phone for study-related communication Exclusion Criteria: * Non-English speaking * Unable to consent * Unable to sustain 30 minutes of moderate activity at baseline * Uses a mobility assistive device at baseline * Chronic opioid use * No histologic diagnosis of endometriosis on surgical pathology * Need for additional pelvic rest (\>2 weeks) postoperatively * Pregnancy or planning to pursue pregnancy or undergo fertility treatments within 12 weeks postoperatively