George Kelling first reported in Germany in 1901 that a cystoscope was inserted into the abdominal cavity of a dog to observe the internal organs and filtered the air with cotton to create a pneumoperitoneum, followed by DeOtt’s use of a cephaloscope and speculum to enter the pelvis from the posterior curved fornix and to observe the pelvic organs. 10 years later Jacobaeus proposed three routes of endoscopic examination via the abdominal cavity, thoracic cavity, and pericardial area, and the subsequent progress in the use of laparoscopy was slow. The use of laparoscopy has progressed slowly since then. However, the laparoscopy has been improved, the United States Bernheim use of proctoscope plus ordinary light source for laparoscopy. 1938 Hungarian Veress designed a biopsy and electrocoagulation laparoscopy, since then, laparoscopy in the field of gynecology in the use of a new period. The use of laparoscopy is also expanding. In 1937, the United States Anderson proposed transperitoneal laparoscopic electrocoagulation sterilization, Power and Barnes proposed electrocoagulation uterine horn sterilization in 1940, and later the outbreak of the Second World War, so that the development of laparoscopy stalled for a long period of time. 1939, Telinde to bladder lithotomy position, through the posterior vaginal fornix into the vaginal mirror diagnosis of gynecological diseases, but due to the interference of the small intestine and unsuccessful. 1944, Telinde to the bladder lithotomy position, through the posterior vaginal vault into the colposcope diagnosis of gynecological disease, but due to the small intestine However, due to the interference of the small intestine and unsuccessful, in 1944 Decker used the knee-thorax position through the dome to form a pneumoperitoneum for laparoscopy, this method has become a traditional method in the United States used until the 1970s. In 1944, France Palmar used Trendelenburg position. So that the intra-abdominal gas is concentrated in the pelvis, and designed to lift the uterus to manipulate the position of the uterus, in order to facilitate the exposure of the uterorectal depression. 1960 Streptoe in the United Kingdom to carry out the double puncture point and multiple puncture points, and first to carry out electrocoagulation sterilization. This was at a time when the world population was growing too fast. As a result, Streptoe sterilization received universal attention. Soon after, the United States was the first to perform electrocoagulation sterilization under local anesthesia in outpatient clinics, and the patient did not need to be hospitalized and recovered quickly, and this model has been adopted by most developed countries. Germany Semm and Frangen-hein invented the fiber-beam cold light source, so that the application of laparoscopy took a big step forward, he developed an automatic pneumoperitoneum machine can continue to maintain a constant pressure of intra-abdominal CO2, to maintain the clarity and safety of the surgical field, Semm invented a large number of laparoscopic hysterectomy instruments based on his many years of experience, so that he became one of the famous pioneers in laparoscopic hysterectomy and other fields. Semm became one of the famous pioneers in the field of laparoscopic hysterectomy. Due to the advantages of laparoscopic examination, such as small damage and fast recovery, it has been rapidly popularized in countries around the world, and many hospitals with insufficient equipment and technology have also carried out laparoscopic surgery, which has led to an increasing number of surgical complications and fatal cases. For this reason, in 1971, the United States Phillip set up the American Gynecologic Laparoscopy Association, especially explored the laparoscopic complications of preventive measures, and laparoscopic physicians around the world to carry out special training for laparoscopy to be popularized around the world has made a great contribution. Since then, the indications of laparoscopy have been further expanded to infertility. laparoscopy can quickly identify the causes of infertility and can be accompanied by possible treatments, such as separation of pelvic adhesions, removal of foci of endometriosis, plication of the fallopian tubes, and diagnosis of ovarian function, etc. Since the 1980s, laparoscopy’s use in infertility has been further expanded to include fertility-assisting techniques. Nowadays, laparoscopy has become an indispensable means of examination for female infertility. 1976, Steptoe harvested eggs under laparoscopy for in vitro fertilization as well as intra-tubal gamete transplantation. In France, Bruhat utilized laparoscopy with β-HCG measurement to diagnose early ectopic pregnancy, and Decheney successfully treated ectopic pregnancy with laparoscopic tubectomy. The introduction of television laparoscopy, so that laparoscopic surgery and further development, television laparoscopy can record the intra-abdominal cavity, but also has a television screen for multiple viewers, the operator and assistant can cooperate with each other. In addition. The application of laparoscopic laser technology and the improvement of a variety of laparoscopic instruments to further expand the scope of use of laparoscopy. Gynecological laparoscopy in China has been carried out for nearly two decades. Since 1979, Dr. Phillip of the United States will bring laparoscopic technology into our country, in the 80’s several large hospitals are only used for diagnostic stage, the development is very slow. 90’s the early 90’s few hospitals in China have carried out laparoscopic surgery and most of them are still in the diagnostic use. In order to promote the development of laparoscopic surgery in China, many scholars gave lectures and surgical demonstrations in domestic higher education institutions and relevant academic seminars. At the end of the 1990s, many hospitals in China were able to perform some difficult surgeries, such as laparoscopic hysterectomy, LAVH, LTH, LSH, CISH, and myomectomy. In the twenty-first century, with the improvement of laparoscopic technology and the further improvement of laparoscopic operating instruments, there have been some hospitals using laparoscopic surgery to treat early uterine malignant tumors, and the recent effect reaches the same as the open abdomen, and only the operation time is on the long side. In short, laparoscopy is a new choice for the diagnosis and treatment of gynecological diseases in the twenty-first century.