Endometriosis is a heterogeneous sickness with run of the mill and atypical sores that range from peritoneal inserts to ovarian endometrioma and profound invading endometriotic (DIE) knobs, with or without cul‐de‐sac obliteration. The point of the current investigation was to approve the presentation of preoperative Ultrasound-based Endometriosis Scoring System (UBESS) for foreseeing the right degree of laparoscopic aptitudes needed for endometriosis surgery.This was a forthcoming, observational examination was directed including (100) ladies giving persistent pelvic torment and additionally endometriosis. The span of the investigation was gone from 6 to 12 months.Results: there is high huge connection between UBESS score and RANZCOG/AGES score with practically ideal arrangement between the two scores. Utilizing ROC bend, affectability of UBESS score I was 94.2%, particularity was 95.8%, PPV 96.1%, NPV 93.9%, exactness 95%, affectability of UBESS score II was 83.3%, explicitness was 93.9%, PPV 75%, NPV 96.3%, precision 92% and %, affectability of UBESS score III was 93.3%, particularity was 98.6%, PPV 96.6%, NPV 97.2%, exactness 97%.Conclusion: UBESS could be used to foresee the degree of multifaceted nature of laparoscopic medical procedure for endometriosis. It can possibly encourage the emergency of ladies with suspected endometriosis to the most fitting careful ability needed for laparoscopic endometriosis medical procedure. UBESS should be approved remotely in different focuses to survey its overall appropriateness.