Background: Laparoscopy as a minimal tool can accurately and quickly confirm the diagnosis and reduce both delay in diagnosis and non-therapeutic laparotomy rate. Shoulder pain is a common complaint following gynecological laparoscopic surgery. The purpose of the study was to investigate the efficacy of heat pad versus effleurage massage in reducing shoulder pain after gynecological laparoscopic operations Design: A quasi-experimental design (non-equivalent group design) (case & control) was utilized Sampling: a convenience sample of 90 women after gynecological laparoscopic operation were enrolled. Setting: The current study was conducted at obstetrics and Gynecology departments of two settings in Menoufia governorate: University Hospital and Shebin El-Koom Teaching Hospital. Results: The study finding revealed women who used heat pads after gynecological laparoscopic operations had less shoulder pain intensity than those who don't. Women who used effleurage massage had less shoulder pain intensity than those who don't Facial expressions that show pain were reduced after using  heat pads, effleurage massage in comparison with the control groups' weredecreased from 46.7%, 26.7% and 26.7% respectively on pre-intervention to 36.7 %, 16.7%, and 43.4% post-intervention. Conclusion: Effleurage Massage revealed a higher efficacy than both heat pads in reducing shoulder pain after laparoscopic operation. Recommendation: Nursing education curriculum should be updated to include non- pharmacological management of shoulder pain after laparoscopic operation.