Gynecologic endocrinology is a frontier discipline, and this paper mainly discusses some of these surgeries with gynecologic endocrine characteristics, mainly including the following: 1. Features of laparoscopic gonadectomy in various cases: abnormal sexual development is a large category of gynecologic endocrine diseases, but because of its low incidence, different types, complex pathogenesis and other problems, rather the vast majority of gynecologists cannot make a correct clinical diagnosis and treatment. Among them, patients with abnormal sex development containing Y chromosome and female gender need to remove the gonads in the abdominal cavity to avoid the occurrence of cancer. 2.Vulvovaginoplasty: clitoral reduction and repositioning with preservation of blood vessels and nerves. The procedure is characterized by abandoning the defects of simple clitoral excision, and by separating the skin and preserving the blood vessels and nerves of the clitoris, it ensures that the surviving clitoral head still has sensation and improves the quality of sexual life of the patient. 3.Laparoscopic oophorectomy in different cases: the usual oophorectomy is to make an incision at the hydrocele using monopolar electrocoagulation, called stoma or open window. 4.Laparoscopic modified myomectomy: the operator uses transverse incision under laparoscopy to separate the plasma membrane layer of the uterus from the myoma tissue, find out the relative boundaries, remove the myoma lesion completely, and close the round spherical tumor cavity left after removal by using a unique suture. After the operation, the patient’s symptoms basically disappear, and the longest follow-up period is 2 years, with normal menstruation, no dysmenorrhea and normal uterine size. 5.Laparoscopic total hysterectomy: this type of surgery is the most likely to cause injury in gynecological lumpectomy, especially when dealing with uterine arteries and main ligaments, it is easy to cause damage to the ureter, and when dealing with bladder peritoneal reflexion, it is easy to cause damage to the bladder. To avoid these complications, the operator opens the anterior and posterior lobes of the broad ligament when dealing with the uterine arteries and clearly separates the uterine vessels before cutting them off. And when dealing with bladder peritoneal reflexion, the position of opening is given importance, less bleeding and easy to grasp. 6.Hand-assisted laparoscopic technique: the operator uses a small suprapubic incision (1.5cm) to enter one finger while fixing the position of the uterus from the vagina with the separation of severe adhesions, and most patients avoid open surgery and successfully separate the pelvic adhesions. And a small transverse incision on the pubic bone can be extended to both sides when changing to open surgery. 7.Laparoscopic giant ovarian cyst removal: the operator uses a simple method to pull the cyst outside the abdominal cavity and remove it, significantly shortening the operation time while avoiding ovarian damage due to electrocoagulation. The method is simple, the ovarian function is protected to the greatest extent, the operation time is significantly shortened, the difficulty is reduced, and it is suitable for promotion. 8.Uterine fibroid removal: The operator uses different anti-adhesion drugs to avoid sequelae caused by surgery. At the same time, the operator’s laparoscopic techniques of knot tying, needle removal and suturing are unique, practical and innovative. It is easy to master after watching. 9.Surgical skills of pelvic adhesions separation and rational application of anti-adhesion measures: pelvic adhesions are an important factor for infertility patients, and how to fully separate the adhesions and preserve the function of the oviducts and ovaries at the same time is the key and difficult point in infertility surgery. The surgeon separates the adhesions thoroughly and restores the function of the oviducts well, while focusing on the prevention of re-adhesions. 10, laparoscopic drug hemostasis method: infertility surgery focused on restoring the function of the oviduct and avoiding further damage. The usual method of hemostasis is electrocoagulation, but for bleeding from the umbilical end of the oviduct or oozing blood near the ureter is not suitable for electrocoagulation, so the surgeon tried laparoscopic local hemostasis for the first time in China, and with reasonable selection of indications, satisfactory hemostasis can be achieved. This method is worthy of clinical reference.