Background: Blunt trauma is by far the most common mechanism of injury.Possible investigative modalities include; Focused Abdominal Sonography For Trauma (FAST), computed tomography (CT) scanning and laparoscopy. There is an increasing volume of data supporting the non-operative management of patients with solid organ injury from blunt abdominal injury. Aim of the work: Comparative study of conservative versus delayed laparoscopic exploration for blunt abdominal trauma and assess the value of preoperative investigation in decision-making. Patients and methods: This study included 28 vitally stable patient with the clinical diagnosis of blunt abdominal trauma, admitted from February 2009 to February 2010. Conclusion: Laparoscopy in stable blunt abdominal trauma is important in making accurate diagnosis and proper management .