Introduction: One of the greatest transformations within the history of surgery has been the 
paradigmatic shift away from open surgery and into operative video-laparoscopy. Many have 
described the advent of operative video laparoscopy as a change to surgery as “revolutionary to this 
century as the development of anesthesia was to the last century" (Medina, 2001). Patients and 
Methods: This is a retrospective and prospective study to investigate and analyze the indications, 
procedures, findings and complications of diagnostic and operative laparoscopy at Minia maternity 
university hospital obstetrics and gynecology department from 2016 to 2019. Results: The study base 
was mainly built on 1052 cases had laparoscopy± hysteroscopy for different indications, during 
period of 2016, 2017, 2018 and 2019