How to achieve the maximum therapeutic purpose with minimum trauma, minimize surgical trauma, or even achieve non-invasive, that is, “invasive – minimally invasive – non-invasive”, has always been the highest level of the pursuit of surgery, but also the ideal and pursuit of surgeons. Endoscopy introduces light into all “corners” of the human body, which is the expansion of surgeon’s vision; endoscopic instruments will cut deep into the operating field, which is the extension of surgeon’s arm. Laparoscopic surgery is a revolution in surgical technique, and its importance lies in its benefit to the patient. （The development of laparoscopy has gone through a long and tortuous process from the introduction of the concept of endoscopy to its widespread use in clinical practice. 1795 Bozzine in Germany first proposed the idea of endoscopy, but due to the limited technology at that time, only the rectum and uterus could be observed with a straight endoscope. 1901 Kelling used the cystoscope invented by Nitze directly through the abdominal wall to In 1910, Jacoaeus of Sweden reported the first laparoscopic examination of the abdominal cavity, thoracic cavity and heart of the human body, completing the first true laparoscopy in human history. Soon after, Professor Kelling reported 45 laparoscopic examinations describing the shape of tumors and nodules in the human abdominal cavity under laparoscopy. Jacoaeus, Kelling and Von Ott made outstanding contributions to research on the clinical applications of laparoscopy and are known as the fathers of laparoscopy. 1936 Boesch of Germany was the first to perform laparoscopic monopolar electrocoagulation with tubal sterilization in 1936 and Reich H completed the first laparoscopic total hysterectomy in 1985. Since then, laparoscopic surgery has entered an era of rapid development. So far, gynecologic laparoscopy has been widely used in the management of benign gynecologic diseases such as endometriosis, ectopic pregnancy, pelvic inflammatory masses, ovarian cysts, etc. with the improvement of surgical standards and instruments, from the diagnostic laparoscopy and laparoscopic electrocoagulation sterilization in the 1960s to 1970s, gradually, In 1989, Querleu was the first to perform laparoscopic pelvic lymph node dissection, and pelvic reconstruction and early gynecologic malignant tumor surgery can also be done laparoscopically. （Laparoscopy was first used for simple diseases, such as laparoscopy for infertility (level 1 surgery), ectopic pregnancy, general dissection of abdominal adhesions, tubal ligation, ovarian cysts (level 2 surgery) to complex level 3 surgery (myomectomy, total hysterectomy, subtotal hysterectomy, etc.) and level 4 surgery (endometriosis, gynecologic malignant tumors, etc.). ectopic disease, gynecologic malignancy surgery, etc.). The successful implementation of laparoscopic total hysterectomy marked the recognition of the value of laparoscopic techniques in the treatment of gynecological diseases, and its wide application in the treatment of gynecological malignancies in the last decade has further expanded its scope of application in gynecological diseases, and also fully demonstrated the value and importance of laparoscopic techniques. With the successful implementation of laparoscopic extensive hysterectomy, pelvic lymph node dissection and other difficult procedures, it has marked its application in the treatment of gynecologic malignancies such as cervical cancer and endometrial cancer. It has been gradually recognized by obstetricians and gynecologists, including gynecologic oncologists. Laparoscopic sacral fixation and Burch can be used to treat pelvic floor dysfunctional disorders in young patients and are currently a new category of laparoscopic treatment of gynecologic diseases. Combined hysterolaparoscopic treatment of genital malformations and defects (longitudinal uterine septum, vaginal oblique septum, congenital absence of vagina, etc.) has incomparable advantages such as small incision and quick recovery and reduction of injuries. （From the viewpoint of surgical incision, several 0.5cm~1.0cm incisions instead of traditional large surgical incisions are undoubtedly welcomed by patients and doctors; the magnifying effect of laparoscopy makes the surgical field clearer; the application of advanced electric instruments makes the operation faster and simpler; less human operation in the abdominal cavity makes postoperative adhesions and other complications significantly reduced; etc. These are the advantages of laparoscopy. However, there is no doubt that there are obvious shortcomings. Since the laparoscopic image is transmitted on the TV through optical fibers, the image observed by the surgeon is two-dimensional and lacks three-dimensionality, which makes the operation more difficult. Secondly the process in forming the pneumoperitoneum and puncture is blind, which can easily cause damage to the abdominal organs, especially the large blood vessels, and even lead to the death of the patient. Third the widespread use of intraoperative electrical instruments has correspondingly increased the occurrence of complications such as accidental vascular injury, thermal injury, etc. This poses a new challenge to the obstetrician and gynecologist, where solid open surgical skills, systematic training in laparoscopic techniques and familiarity and attention to possible complications will avoid or reduce them as much as possible. There is no doubt that the young laparoscopic technique brings new concepts, new modalities and new revolutionary changes to the treatment of gynecological diseases and, together with the ancient negative surgery, will become the mainstay of minimally invasive treatment of gynecological diseases. Standardized and individualized laparoscopic surgical treatment protocols will bring greater benefits and minimal damage to patients.