The objective was to compare intra- and postoperative outcomes following laparoscopic segmental and discoid resection for colorectal endometriosis. Group 1 included 29 discoid bowel endometriotic nodule resections. Group 2 included 11 segmental bowel resections. All patients underwent radical conservative pelvic endometriosis surgery. The surgical method choice was based on preoperative imaging workup and intraoperative findings. Evaluated parameters included: demographics; surgery time; hospital stay (uncomplicated/complicated cases); dehiscence rate; resection margins on histopathology. Quality of life was assessed in terms of presence/absence of bladder and bowel dysfunction. Median age in Group 1 was 35 vs. 36 years in Group 2. Group 1 included 3.4% ASRM endometriosis Grade II, 10.3% Grade III, and 86.2% Grade IV patients. All Group 2 patients were ASRM endometriosis Grade IV. Discoid colorectal resection was associated with significantly shorter operating times (278 vs. 345 minutes), same hospital stay for uncomplicated cases (9 days in both groups), and shorter hospitalisation for complicated cases (18.8 vs. 21). A higher postoperative complication rate was found in Group 1 (24.1% vs. 9.1%). Dehiscence occurred in 7 cases in Group 1 (24.1%) vs. 1 case in Group 2 (9.1%). 5 cases in Group 1 required reoperation (17.2%), and 2 were treated conservatively (6.9%). Although global quality of life among groups was comparable, two cases of temporary voiding dysfunction occurred in Group 2. Discoid resections involved shorter surgery time, lower voiding dysfunction rates, but significantly higher complication rates in terms of dehiscence, probably due to the presence of residual endometriosis within the surgical margins.