The surgical procedures listed below constitute the vast majority elective gynecologic surgery performed in the United States each year. Unfortunately, most patients undergoing hysterectomy, removal of the ovaries, removal of benign ovarian tumors, and treatment of advanced stages of endometriosis are treated via laparotomy rather than laparoscopy. This results in more postoperative pain, longer recovery times, and, occasionally, worse outcomes.

If the gynecologic surgeon is properly trained and experienced in laparoscopic surgical techniques, most of these procedures can be safely and effectively accomplished by laparoscopy. In addition, the hospital operating suites must be adequately equipped with advanced endoscopic instrumentation and staffed with personel experienced in endoscopic techniques. In these situations, patients may benefit from the shorter hospital stay, quicker recovery, and decreased disability associated with laparoscopic surgery.

As we move toward shorter hospital stays, patients should also demand the best in surgical care. In most cases of benign (non-cancerous) gynecologic conditions that require surgery, the laparoscopic approach offers tremendous benefits to the patient and healthcare system. This is only true if the operating gynecologist has the appropriate level of skill and experience with laparoscopic surgical procedures. If not, disaster can follow.