Bowel endometriosis affects 8% to 12% of women with infiltrating endometriosis, mostly involving the rectum and sigmoid [1]. Surgery is preferred when medical therapy fails or is contraindicated. Although segmental resection has shown good outcomes, it carries significant risks of perioperative complications [1, 2, 3], partially due to the mini-laparotomy required for specimen retrieval and bowel anastomosis (postoperative pain, wound-related issues, blood loss, hernias). Total intracorporeal laparoscopic anastomosis may reduce them [4,5]. While promising, experience with this technique is limited, and there is no consensus on its use. This video showcases our technique for total intracorporeal end-to-end anastomosis using a purse-string suture after bowel resection for endometriosis.