Study Objective Describe the surgical technique used in a center for patients with intestinal endometriosis who are candidates for disc excision as a conservative treatment, highlighting anatomical and technical aspects of the intervention, in a schematic approach with easy reproducibility. Design Video presentation review of surgical technique. Setting Under general anesthesia in the Trendelenburg position, the patient undergoes surgery with a routinely specified entrance to the abdominal cavity by using pneumoperitoneum for the consequent inspection of the pelvic abdominal cavity and its resulting intervention. Patients or Participants Women with intestinal wall endometriotic lesions smaller than 3 cm, involvement of less than 40% of its circumference and extension to the muscularis propria affecting up to 7 mm in depth. Interventions Adequate exposure of the cavity via adhesiolysis, bowel mobilization and bilateral ovarian suspension with suture. Careful dissection of the avascular spaces of the pelvis through healthy tissue is made until adequate identification of ureters, rectum and rectovaginal septum. Delimitation of the lesions from lateral to medial, attempting preservation of the intestinal serosa and the posterior vaginal wall on a conservative management basis. After the passage of the transanal endostapler, the lesion is invaginated inside the gap delimited by the instrument anvil and cartridge, with subsequent closure and incorporation of the lesion inside the stapler for its activation, consequent cut and anastomosis over the anterior intestinal wall. Extraction of the excised tissue through a 10 mm port or through the vaginal cuff, depending on the case. Measurements and Main Results N/A. Conclusion Discoid intestinal resection can be adopted in selected cases with better functional outcomes for the intestine, less risk of complications in the immediate postoperative period (especially in low colorectal lesions) and equal symptom control than intestinal resection. The dissection of the spaces and the adequate intestinal segment preparation before resection are essential for the adequate application of the endo stapler on the tissue. Describe the surgical technique used in a center for patients with intestinal endometriosis who are candidates for disc excision as a conservative treatment, highlighting anatomical and technical aspects of the intervention, in a schematic approach with easy reproducibility. Video presentation review of surgical technique. Under general anesthesia in the Trendelenburg position, the patient undergoes surgery with a routinely specified entrance to the abdominal cavity by using pneumoperitoneum for the consequent inspection of the pelvic abdominal cavity and its resulting intervention. Women with intestinal wall endometriotic lesions smaller than 3 cm, involvement of less than 40% of its circumference and extension to the muscularis propria affecting up to 7 mm in depth. Adequate exposure of the cavity via adhesiolysis, bowel mobilization and bilateral ovarian suspension with suture. Careful dissection of the avascular spaces of the pelvis through healthy tissue is made until adequate identification of ureters, rectum and rectovaginal septum. Delimitation of the lesions from lateral to medial, attempting preservation of the intestinal serosa and the posterior vaginal wall on a conservative management basis. After the passage of the transanal endostapler, the lesion is invaginated inside the gap delimited by the instrument anvil and cartridge, with subsequent closure and incorporation of the lesion inside the stapler for its activation, consequent cut and anastomosis over the anterior intestinal wall. Extraction of the excised tissue through a 10 mm port or through the vaginal cuff, depending on the case. N/A. Discoid intestinal resection can be adopted in selected cases with better functional outcomes for the intestine, less risk of complications in the immediate postoperative period (especially in low colorectal lesions) and equal symptom control than intestinal resection. The dissection of the spaces and the adequate intestinal segment preparation before resection are essential for the adequate application of the endo stapler on the tissue.