For many years the treatment of gynecologic malignant tumors has been based on surgery, and transabdominal extensive hysterectomy and pelvic lymph node dissection are the main surgical procedures for the treatment of gynecologic malignant tumors at present. In the past 10 years, with the continuous improvement of laparoscopic equipment and the continuous development and perfection of technology, laparoscopic surgery has not only been applied to the treatment of benign gynecological diseases, such as endometriosis, adnexal masses, uterine tumors and ectopic pregnancies, etc., but also has been increasingly applied to the diagnosis and treatment of gynecological malignant tumors. Through the continuous attempts in the past years, the indications for laparoscopic surgery have been gradually expanded, and contraindications have been greatly reduced, which has led to a decrease in the number of gynecologic malignancies. Some scholars even believe that there is no absolute contraindication to laparoscopic surgery. The surgical field has expanded from the treatment of early cervical cancer, endometrial cancer, and ovarian cancer to highly difficult cervical cancer and advanced ovarian cancer surgery. Laparoscopic surgery requires a high level of surgical operation for the operator, who must be familiar with the pelvic anatomy such as the anatomical position and the relationship between the pelvic organs, blood vessels and nerves, followed by skillful laparoscopic operation techniques and cooperative surgical team, as well as paying attention to the intraoperative gentle operation and the correct use of all kinds of laparoscopic surgical instruments. Laparoscopic surgery is a perfect combination of advanced science and technology and modern medicine, and has become a symbol of minimally invasive surgery, which has changed the traditional concepts, technical routes, and operating techniques, and has a broad prospect of application in the field of gynecology. The research on laparoscopic surgical modalities and new technologies from multiple perspectives and at multiple levels will provide a scientific basis for guaranteeing the surgical safety of the patients and formulating the best treatment plan. Laparoscopic surgery for gynecologic malignant tumors can not only achieve the effect of open surgery, and has the following advantages: Laparoscopic lymph node dissection can be accurately and comprehensively sampled through the magnifying effect of laparoscopy, providing a pathological basis for treatment and accurate grading to avoid over-treatment, the laparotomy is small, with little vascular damage and less bleeding, and the surgery is carried out completely in the closed abdominal cavity, avoiding the exposure of organs and the gloves. Gauze and other damage to the tissues, does not interfere with the intestinal tube, less postoperative adhesions, fast recovery of bowel movements, early feeding, reducing the amount of fluids and antibiotics, and good wound healing. Many scholars have conducted comparative studies on laparoscopic and open surgery for gynecological tumors and found that laparoscopic surgery has less bleeding, less pain and faster recovery, shorter hospitalization time and beautiful wounds. Laparoscopic radical surgery for malignant tumors is safe, effective and thorough in selecting appropriate cases according to the principles and requirements of tumor treatment, with near-term efficacy superior to that of open surgery and satisfactory long-term efficacy.