It is an inevitable trend in the development of surgical disciplines to achieve a cure with minimal trauma. Laparoscopic surgery is the main representative of this new technology. Laparoscopic surgery (commonly known as “eyeballing”), first of all, in the abdominal wall to cut 3 – 4 small openings (diameter 1CM and 0.5CM), and the trocar into the abdominal cavity, the establishment of the abdominal cavity and the outside world of the channel. Using these channels, special laparoscopic instruments are inserted deep into the abdominal cavity, where a camera device clearly displays images of the abdominal cavity on a monitor screen, and the surgeon looks directly at the screen to complete various surgical operations. What should gynecologic laparoscopic surgery patients pay attention to? In the direction of minimally invasive surgical development, laparoscopic technology has been widely used in various clinical departments, and the scope of application in gynecology is also expanding. Among them are ectopic pregnancy, uterine fibroids, teratoma, polycystic ovary syndrome and other diseases. This technology has the advantages of non-open abdomen, small trauma, fast recovery, light postoperative pain, and shorten the number of days in hospital, the abdomen does not leave earthworm-shaped scar, and cosmetic effect. However, laparoscopic surgery is, after all, a kind of surgery, do this kind of surgery patients, before and after the operation or should pay attention to some problems, in order to make this “non-open surgery” to achieve satisfactory results. Confirmed by the gynecologist belongs to the indications for laparoscopic surgery, and do this kind of surgery, pay attention to personal hygiene, the umbilicus should be washed with warm water, it is best to use a cotton swab dipped in soapy water or vegetable oil will be the umbilical cord hole to remove the dirt. In terms of diet, the day before the operation should be light, easy to digest food, do not fish and meat, in order to prevent the cause of postoperative intestinal flatulence. At the same time, it is necessary to prepare for the thought, adjust the psychological state and ensure sufficient sleep. If necessary, follow the doctor’s instructions to take oral sedative drugs. I. What diseases can minimally invasive gynecologic laparotomy treat? Diagnosis of various difficult diseases: such as acute abdominal pain, chronic pelvic pain, uterine perforation, infertility, dysmenorrhea and so on. Treatment: various types of ectopic pregnancy, conservative treatment of ectopic pregnancy (preservation of fallopian tube), pelvic adhesion, endometriosis, ovarian endometriosis cysts, ovarian benign teratoma, ovarian cysts, uterine fibroids, all kinds of pelvic masses, tubal sterilization, tubal recanalization. Can one surgery treat gynecological diseases and gallbladder stones at the same time? If the patient has gynecological diseases (such as uterine fibroids, ovarian cysts, ectopic pregnancy, etc.) and cholecystitis at the same time with gallbladder stones, the traditional surgery is to stay in the surgical department to perform cholecystectomy first, hospitalization for 7-10 days, and then stay in the gynecological department for surgical treatment in the following 2-3 months, hospitalization for 10-15 days, hospitalization, anesthesia, and surgery, which will result in great damage, pain, long hospitalization time, high cost, and family members need to delay a longer time to go back and forth to take care of the patient. The patient has to be hospitalized twice, anesthetized twice and operated twice. If the implementation of laparoscopic minimally invasive gynecological and surgical joint surgical treatment, only need to be hospitalized once, about 3 ~ 5 days, an anesthesia, can be removed at the same time the gallbladder and gynecological pelvic masses, 24 hours to get off the ground activities, eating early, fast recovery after surgery. Third, “eye” surgery can be thorough? Some patients have concerns that “eye” surgery is not as intuitive as open surgery, more reliable, in fact, it is not. Laparoscopic surgery is to improve the surgical operation method and surgical instruments, and make the operation more convenient and reliable. Laparoscopic surgery has a clearer field of vision, more detailed surgical operation, and less possibility of complications. At present, the United States, Singapore and other countries have legislation, such as doctors can not be the first to use “eye” surgery, to the patient increased pain, is considered illegal. Fourth, obese patients can implement laparoscopic surgery for gynecological diseases? Obese patients are more suitable for laparoscopic surgery. Obese patients to implement open surgery, because the incision is large and deep, subcutaneous fat is easy to liquefy, it is easy to cause postoperative incision infection, incisional hernia. In addition, the respiratory function of obese patients is significantly lower than that of normal weight patients, postoperative pulmonary infection, pulmonary atelectasis and other complications are significantly higher than that of normal weight patients. If laparoscopic surgery, obese patients and normal weight in the wound size, length of surgery, muscle damage and the incidence of postoperative complications of the two do not differ. The incidence of complications such as incisional infection and lung infection was lower in laparoscopic surgery than in open surgery. Therefore, obese patients are more suitable for laparoscopic surgery. Fifth, large pelvic masses (such as uterine fibroids, columns towards the cysts, etc.) how to take out of the small mouth? Some patients ask: how to remove large gynecological masses, such as uterine fibroids, ovarian cysts, etc., from a small opening in the abdominal wall? If the fallopian tube is removed for ectopic pregnancy, the resected material can be easily removed directly from the small opening. In the case of cystic ovarian tumors, the fluid inside the cyst can be aspirated with a long, thin puncture needle to reduce the size of the tumor and remove it through a small opening in the abdominal wall. For larger solid masses, such as fibroids, the mass can first be cut into strips with a special instrument and then removed through a small incision in the abdominal wall. All of the above specimens need to be placed in a specimen bag beforehand and removed through a small incision in the abdominal wall. The entire mass can also be removed from the vagina. There is no big scar on the abdominal wall after removing a big mass, only 3-4 small incisions (0.5~1cm), and no traces of surgery can be seen at all after healing. Sixth, laparoscopic treatment of ectopic pregnancy can retain the fallopian tube? For those who have unbroken tubal pregnancy, the diameter of pregnancy mass is <3cm, and request to retain the reproductive function, blood HCG≤2000IU/L, no abnormal liver and kidney function, no intra-abdominal bleeding, and exclude intrauterine pregnancy, the tubes can be retained, and local drug injection within the tubal pregnancy is carried out laparoscopically to kill the embryo, or abdominal removal of tubal pregnancy is carried out to cut the tubes to remove the embryo, so as to retain the tubes and retain the reproductive function. The fallopian tubes can be preserved and fertility can be preserved.