Ureteral endometriosis (UE) is one of the common types of deep infiltrating endometriosis (DE), easily causing upper urinary tract obstruction and being an important cause of "silent kidney loss" in women of reproductive age. At Peking University First Hospital, robot-assisted laparoscopic surgery for UE has been performed under the multidisciplinary team (MDT) model, with a high surgical success rate and a low recurrence rate. Our experience and characteristics mainly include five aspects: (1) re-recognition of prevalence: the actual prevalence of UE may be severely underestimated; given the limited detection ability of imaging, UE is often identified incidentally during intraoperative ureteral dissection in patients with DE; (2) shift of surgical philosophy: for patients with severe stenosis, especially those with concurrent DE undergoing conservative fertility-preserving surgery, ureteroneocystostomy with an anti-reflux mechanism has a lower recurrence rate than ureteroureterostomy or ureterolysis with lesion excision, fitting the philosophy of "one surgery in a lifetime" ; (3) innovation of collaboration model: routine preoperative multidisciplinary evaluation and the "dual-specialty same-table" surgical model of gynecology and urology are superior to intraoperative ad hoc consultation; (4) remote surgery and platform workflow: remote dual-specialty same-table surgery across hospitals based on the domestic "4+ 1" robotic platform, together with a unified postoperative follow-up pathway; (5) extension of fertility management: preoperative fertility assessment and preservation, multidisciplinary monitoring during pregnancy, and long-term postpartum management constitute full-life-cycle care.