The decision to operate on a patient with acute lower abdominal pain comes to the mind of the surgeon if routine investigations fail to identify the cause. A negative laparotomy may have complications, while laparoscopy appears to be a valuable way to improve the accuracy of diagnosis of acute lower abdominal pain and offers a promising modality of treatment. Patients & Methods : A retrospective randomized study, it was conducted in the Police Authority Hospital. It included twenty (20) patients with different ages (ranging from 12-50 yrs old), & different sexes (six males & fourteen females).Results : All cases had diagnostic laparoscopy. Seventeen cases (85%) were managed by laparoscopically (appendectomy, ovarian cystecto- mies, salpingo-oophorectomy, adhesolysis, and others) and three cases (15%) were converted to open surgery (retroceacal appendicitis, pelvic abscess, & mesenteric vascular occlusion). Postoperative complication was in the form of abdominal distension, port site infection & fever, & managed conservatively. There was no mortalities in the study.Conclusion : Diagnostic & therapeutic laparoscopy in acute lower abdominal pain is a safe and effective method with the advantages of small scar, short hospital stay and early recovery.