Patients with chronic abdominal pain can undergo numerous diagnostic tests with little change in their pain. This study was undertaken to assess the utility of laparoscopy in patients with chronic abdominal pain for longer than 3 months. A retrospective randomized study, it was conducted in Kasr El-Ainy hospital and other private hospitals. It included fifteen (15) patients with different ages and different sexes). The patients data, length of time of pain, diagnostic studies performed before surgery, intraoperative findings and follow-up were determined. Results : In follow-up (46.7%) had complete resolution, (33.3%) experienced improvement in their pain,(13.3%) had no change in their pain and one patients condition deteriorated due to complications. There were no mortalities. Conclusion : Laparoscopy has a significant diagnostic and therapeutic role in patients with undiagnosed chronic abdominal pain. With careful selection of patients laparoscopy leads to substantial pain relief and improves quality of life in about 80% of cases and should be considered if other diagnostic tests are negative.