Minimally invasive surgery such as laparoscopic surgery, which has emerged in recent years, is favored by patients with the advantages of small trauma, small skin scar, early discharge and fast postoperative recovery, etc. by the majority of medical practitioners. However, every treatment method has its indications, and if the indications are not properly grasped, it will bring patients not minimally invasive, but harm, or even serious consequences that are difficult to cure. In the field of gynecology, laparoscopic technology has also been widely used in recent years with rapid development. It has brought many benefits to the majority of female patients. For example, it has shown advantages in the treatment of ovarian cysts, benign cystic teratomas, endometriosis, uterine fibroids and other diseases with positive efficacy. It has even been used in some gynecological malignancies. However, at the same time, both as doctors and patients should be conscious that laparoscopic techniques have their indications. During my study in Cancer Hospital of Medical Academy, I have a deeper understanding of this point. For ovarian tumors that are large, with strong cystic fluid echogenicity on imaging (compared with urine in the bladder), mixed cystic and solid, with papillae, etc., and cannot exclude mucinous cystadenoma, junctional tumor or ovarian cancer, laparoscopic treatment is not suitable, because the mass may rupture under laparoscopy, and once these types of intraoperative tumor rupture, the clinical stage of the tumor is changed, which raises the tumor stage and makes the patient’s prognosis worse. Especially for mucinous cystadenoma, which is a benign ovarian tumor, if it can be completely excised intraoperatively, it is basically non-recurrent and curable after surgery, but once it ruptures, the recurrence rate increases significantly, and after recurrence, it is insensitive to radiotherapy and chemotherapy, and many patients not only experience the pain of surgery repeatedly, but also eventually die due to intestinal obstruction caused by the formation of a large number of pseudomucinous tumors in the pelvic and abdominal cavity. And this kind of tumor is difficult to ensure its integrity when operated laparoscopically due to its thick cystic wall and large size, so open surgery is recommended if mucinous cystadenoma is suspected. In addition, larger fibroids are recommended to choose laparoscopy carefully, because the fibroids grow too large and some of them may undergo sarcoma transformation, and the uterine tumor removed by laparoscopy during surgery needs to be broken up in order to be taken out from the narrow laparoscopic incision, because the sarcoma is malignant and may lead to extensive planting and metastasis in the pelvic and abdominal cavity during the process of removal, and once this happens, not only the second laparotomy is required, but also the treatment effect is not good. And the treatment effect is not good. The suitability of laparoscopic surgery for cervical cancer depends mainly on the stage of the disease and the laparoscopic operation technique of the doctor. Early stage cervical cancer can be operated laparoscopically if the surgeon has rich experience in laparoscopic operation, but detailed examination and evaluation of the patient’s condition are needed before the operation, preferably through pelvic and abdominal CT or MRI examinations to understand the local condition of cervical tumor, the relationship with the parametrium, and the condition of pelvic and para-aortic lymph nodes. Chest radiography is performed to understand the lung condition and to assess the general condition of the whole body.