When the development of obstetrics and gynecology endoscopic technology reaches a certain level, we must calmly look at the pros and cons of obstetrics and gynecology endoscopic technology, and in the process of promoting and popularizing obstetrics and gynecology endoscopic technology, we must avoid some misunderstandings or misconceptions. A good doctor should make comprehensive use of different diagnostic and treatment modalities such as OBGYN endoscopic surgery, open surgery, surgery through natural cavities such as the vagina, and so on, and avoid the shortcomings and strengths. Myth 1: Minimally invasive surgery = endoscopic surgery Minimally invasive is a concept, a principle, rather than a specific technique. The so-called minimally invasive refers to the minimum trauma, so that the patient can get the maximum benefit. Specifically, it means less trauma, less bleeding, lower cost, shorter time, less pain, and faster recovery. This is the basic concept of surgery, is the principle of surgical adherence. Any surgical route, surgical method and the whole process of surgery should follow this concept and principle, and implemented in every detail and process of surgery. The selection or indication of each type of surgery is relative and conditional, not absolute and unconditional. From this concept, endoscopic surgery, negative surgery is more in line with minimally invasive, that is, endoscopic surgery can be considered minimally invasive surgery, but the inverse equation that minimally invasive surgery is equal to endoscopic surgery is not valid. Myth 2, endoscopic surgery = all surgery Any indications and contraindications are relative, not absolute. Any surgery has certain contraindications and indications, and the specific surgical method depends on the disease, treatment method, patient’s individual situation and hospital conditions and other factors. Although minimally invasive technology has its outstanding advantages, but can not require all surgery through minimally invasive technology to solve. Myth 3, endoscopic surgery = the best surgery Various technologies have their own strengths and weaknesses, and should complement each other. Endoscopic surgery has its obvious superiority and even unique advantages, as well as aesthetic features. There is also a natural rationale for the use of endoscopic surgery with the help of natural cavities. Nowadays, it is already reasonable to say that the procedures that clearly demonstrate the superiority of laparoscopy are gynecologic acute abdomen (including ectopic pregnancy, luteal rupture, ovarian cyst torsion and rupture, etc.), benign adnexal tumors and disorders, and endometriosis; and the laparoscopic surgical procedures that can be performed as an option are hysterectomy, and excision of uterine fibroid tumors or adenomyomatous lesions. However, all kinds of surgical methods and techniques have their own strengths and weaknesses, and should complement each other. In fact, there is no best, only better; the safest and most effective surgery for patients is the better surgery. Myth 4, minimally invasive surgery = the safest surgery minimally invasive can also become very invasive, the development of technology, the growth of the operator has a timetable. People tend to think that minimally invasive surgery is the safest compared to open surgery. However, minimally invasive surgery, characterized by less trauma, less bleeding, less disruption to the body, and faster recovery, is still characterized by problems that may complicate. Endoscopic surgery has limitations in exposing the field of view (angle of the lens, field of view surface and two-dimensional space), which increases the risk of potential injuries; in addition to injuries from instruments, injuries brought about by the energy of the work, such as electrocautery, electrocutaneous injuries, etc., may also occur. Air embolism, subcutaneous emphysema, hernia, etc. caused by pneumoperitoneum; body fluid load caused by expanding uterine fluid, and even transurethral endoscopic surgery syndrome. The negative surgery has a small space, limited field, inconvenient lighting, difficult exposure, and easy injury. It can be seen that the road of minimally invasive, but also the road of danger! In fact, the development of a technology, the growth of an operator encountered problems have a “timetable”: the initial stage, laparoscopic surgery occurs more for the “low-level” problems, such as inflation failure, puncture damage, etc.; then there will be a more mature, stable “platform period”. After that, there will be a more mature and stable “platform period”; and after technical proficiency, with the increase of surgical difficulty, ushering in a more serious challenge, and more “high-level” problems, such as organ damage, hemorrhage and so on. So, whether you are a young surgeon, a more experienced surgeon, or even an endoscopic technologist, there are different dangers you can encounter. Minimally invasive procedures can become highly invasive! The prevention and treatment of complications should not be ignored. Myth 5, endoscopic technologist = endoscopic surgery only Flexible application of technology, formation of specialties, and multi-tasking are the best experts. Mastery of minimally invasive surgery is a necessary skill that takes a longer process of learning and training. Open surgery is the foundation (including anatomy, principles and techniques), endoscopic surgery and negative surgery has its own specificity (including technical route, operation method and instrument use, etc.), and a variety of energy instruments and instrument mastery, the selection of indications, contraindications discretion, as well as the prevention and treatment of special complications and the evaluation of the results of the evidence-based and other issues. All this forms two major issues in the growth of endoscopic surgeons. One is the emphasis on technical training, and the other is the strict standardization of practice. Endoscopists should be versatile and should work closely with subdisciplinary specialists in gynecologic oncology, reproductive endocrinology, and other areas, or they themselves should be experts in these areas. The expert is a thinker in mastering and applying technology, and a mature physician should be flexible in applying a variety of techniques, yet adept at developing his or her own specialties. Summarize: 1, minimally invasive surgery is difficult to define, is relative and conditional, including laparoscopic surgery, transvaginal surgery, open surgery. 2, the concept and principle of minimally invasive surgery to adapt to all types of surgery, throughout the entire process of surgery; vaginal surgery, endoscopic surgery is more in line with minimally invasive, various types of minimally invasive gynecological surgery category is also being gradually formed; open, transvaginal, endoscopic surgery is not possible to bias instead of the whole, the three should be to enhance their strengths and weaknesses, complement each other. 3, laparoscopic surgery as minimally invasive surgery, favored by doctors and patients, technology is improving, the application of broad prospects, but it is not possible to completely replace the traditional transabdominal and transvaginal surgery. 4, the doctor should master a variety of surgical methods, should also be good at forming their own specialties.