Cervical insufficiency is one of the main causes of miscarriage and preterm delivery in mid- and late-term pregnancies. The traditional treatment is a prophylactic transvaginal cervical cerclage at 14 to 16 weeks of gestation. This is a simple procedure with good results. However, cervical cerclage during pregnancy has risk factors such as bleeding, infection, and miscarriage, and the transvaginal cerclage is difficult to reach the endocervix, and repeated procedures fail in a small percentage of patients. Open endocervical cerclage performed in the non-pregnant state has a higher success rate and lower risk than in pregnancy, and is a wise choice for patients who have failed suturing during pregnancy. Since 2008, our medical team has been performing laparoscopic endocervical cerclage. This procedure is superior to transabdominal laparotomy in terms of high cervical ligation position, precise results, minimal trauma, mild postoperative pain and rapid recovery. The disadvantage is the need for a cesarean section during pregnancy and delivery. If you have a history of multiple mid-pregnancy miscarriages (clinically diagnosed as cervical insufficiency) or a history of failed transvaginal cervical cerclage in mid-pregnancy, you can come to the hospital for laparoscopic endocervical cerclage.