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Introduction - Since the mid 1960s,laparoscopy has grown from very simple beginnings to become one of the most commonly preferred gynaecological surgeries.The procedure is used extensively in the assessment of infertiliy,in the diagnosis of pelvic infection,ectopic pregnancies,endometriosis and sterilization procedures.During the late 1980s and 1990s,laparoscopic surgery began to develop into Minimal access surgery which is now used virtually by almost every surgical specialist and is widely established throughout some obstetrical and gynaecological surgeries.However it is important to draw the line between laparoscopic and open surgeries considering patient?s interest and well being . Aims and objectives - This poster highlights some aspects of how to select the right procedure for each patient and pros and cons associated with the same . Materials and methods - Some factors to choose while considering the right surgical approach are general health and fitness of patient,past medical condition,previous history of abdominal surgeries, recovery time,risk of infections,post operative pain. Results - Studies are still needed to better define which advanced procedures are more appropriate to perform laparoscopically from an economic and safety vantage point. Conclusion - A good laparoscopic surgeon should know his/her limitations and not hesitate to call for help. Conversion to laparotomy is not considered failure. Careful selection of patients is the first key to success in any surgery. Preparation is essential in laparoscopic surgery and may include a checklist to avoid shortage of instruments. Surgeons are often advised to avoid any shortcuts which modify a surgical procedure. Careful positioning of the patient can help to avoid any nerve injuries also avoiding maximizing operative time.