With the rapid development of medical technology and the change of medical model, preserving female physiological function and improving the quality of life are frequently faced in the treatment of gynecological malignant tumors. The application of laparoscopic technology and the introduction of highly effective chemotherapeutic drugs have made the treatment of gynecologic malignant tumor patients more precise and minimally invasive, and the preservation of female physiological function has been increasingly applied in clinical practice under the premise of ensuring the efficacy, and it is also the development direction of gynecologic tumor treatment. Preservation of physiological function in gynecological malignant tumor patients mainly involves reproductive function, sexual function, endocrine function and other issues, which need to be selected according to patient’s age, clinical stage and reproductive status. Zhao Qian, Department of Obstetrics and Gynecology, First Affiliated Hospital of Zhengzhou University For example, laparoscopic pelvic lymphatic dissection with extensive hysterectomy can preserve the reproductive function of patients with early-stage cervical cancer, while effective neoadjuvant chemotherapy can maximize the preservation of their physiological function; laparoscopic nerve-preserving extensive hysterectomy can effectively improve patients’ postoperative bladder and rectal function; for young patients with advanced cervical cancer, the use of laparoscopic ovarian transposition with adjuvant radiotherapy can help preserve ovarian function and improve patients’ quality of life. For ovarian cancer patients, laparoscopy can be used not only for clinical staging and biopsy, but also for early ovarian cancer radical treatment and ovarian cancer second exploration, all of which can improve patients’ postoperative quality of life and reduce the incidence of postoperative complications. With the rational application of these methods and technologies, human-oriented and scientific treatment can be achieved, and female physiological functions can be preserved as much as possible while curing or prolonging the survival time and improving the quality of life of patients