Background: Gynecological laparoscopy is a popular day-case or short-stay surgery. Laryngeal mask airway (LMA) provides various advantages over tracheal intubation (TI), including less postoperative adverse effects like sore throat, dysphagia, and dysphonia, faster and easier airway device placement, and less neuromuscular blockade. Correctly positioned new-generation LMAs prevent stomach insufflation and regurgitation. Laparoscopy, which has high peak airway pressure, can be anaesthetized with these devices. Objective: This study aimed to compare the effects of the Baska Mask and endotracheal tube on hemodynamic parameters (heart rate, mean arterial pressure), airway pressure and EtCO₂ values Patients and methods: This prospective randomized study was conducted on 60 patients through the period from January 2021 to September 2022 at Al-Azhar University Hospitals (Assiut). They were ASA class I or II, scheduled for elective gynecological laparoscopic surgery and had mean age of 45.42 ± 8.53 years. Results: HR was significantly higher in B group regarding measurements at 60 and 90 min. BIS was significantly higher in B group compared to E group regarding measurements at baseline, after induction/before laryngoscopy, after laryngoscopy, during intubation/insertion and at 1, 3, 5, 10, 20, 30, 40, 50, 60, 90 and 120 min. Peak airway pressure was significantly higher in E group regarding measurements at baseline after induction/before laryngoscopy, after laryngoscopy, during intubation/insertion and at 1, 3, 5, 10, 20, 30, 40, 50, 60, 90 and 120 min. Also, leak pressure was significantly higher in E group compared to B group at all times of measurements. Between the groups, there was a considerable difference in insertion time. Conclusion: The current investigation corroborated the findings of previous studies conducted on individuals having general surgery. The efficacy of the Baska mask was shown to be comparable to that of endotracheal intubation for female patients receiving elective laparoscopic gynaecological surgery who were ventilated during general anaesthesia.