Background: Intra-abdominal abscesses remain a major cause of morbidity and mortality. Intra-abdominal abscesses that are localized usually arise in connection to the damaged viscus. For timely treatment, a correct diagnosis and abscess localization are required. Laparoscopic draining of a large intra-abdominal abscess is a minimally invasive procedure that allows exploration of the abdominal cavity without a large incision. Aim: This study aimed to to evaluate the outcome of laparoscopic management of abdominal abscesses not amenable to percutaneous or transrectal CT guided or ultrasound US-guided drainage. Patients and Methods: This prospective study included 24 patients presenting with clinical and radiological manifestations of lower abdominal intraperitoneal abscesses at General Surgery Department, Zagazig University, Egypt. This study was conducted through the period from Feb 2021 to Aug 2021. Results: Our analysis showed that mean operative time was 97.2 ± 12.3 min, mean intraoperative blood loss volume was 176.5 ± 62.7 ml and 19 cases needed blood transfusion. The VAS score of preoperative pain decreased from 6.9 pre-operative to 5 immediate post-operative and 0.3 at 24 hr post-operative. Conclusion: For pelvic-abdominal abscesses, laparoscopic drainage proved a realistic, safe, and effective treatment option. Laparoscopic drainage is a minimally invasive treatment with few postoperative complications.