Using a transperitoneal endoscopic technique, the skilled surgeon visualizes the pelvic structures to diagnose and manage gynecologic disorders without laparotomy (Wieslander & Wong, 2013). Carbon dioxide is instilled with a pneumatic insufflator into the peritoneal cavity to distend the abdominal wall to provide visualization of the structures. A laparoscope is then inserted through a small incision, usually under the umbilicus. Other small incisions may be made on the anterior abdominal wall laterally. The rate, pressure, and volume of the CO2 is continuously monitored. Resection, biopsy, coagulation, aspiration, and manipulation are accomplished by passing a variety of instruments through cannulas; laser (CO2 or Nd:YAG) may also be used. Procedures may be minor or major and performed through small abdominal incisions. The technique requires skill and experience to be performed safely. Morbidity is low and recovery tends to be relatively short.