Endometriosis affects an estimated 6–14% of women and people presumed female at birth, significantly impacting quality of life and workplace productivity. While research highlights that endometriosis pain and symptom management hinders careers and productivity; our current understanding of how workplace practices and intersecting discourses and norms shape careers (for people with endometriosis) remains limited. The present research aims to understand how people with endometriosis experience and make sense of their experiences managing endometriosis symptoms and paid work. First, we asked how do women with endometriosis interpret the way their career is shaped by symptom management at work? Secondly, how can this knowledge inform workplace policies and practices which support endometriosis symptom management in the workplace? Through six online focus groups (September-November 2022) with 45 cisgender women either currently or recently employed in Australia and guided by a post-structural feminist lens, we uncovered two themes in women’s experiences. We labelled the first “If I wanted to get somewhere…I had to suck it up” and consider how and why employees conceal their symptoms; and second “If I can be supported, I can work: shifting responsibility from employee to workplace” demonstrating how workplace accommodations and education are impactful. Our recommendations include the development and adoption of workplace guidelines that support physical symptom management together with educational initiatives that challenge stigma, masculinist and ableist norms that support improved workplace productivity, personal wellbeing and career outcomes.