Pelvi-abdominal masses are considered as a group of the mostcommon diseases in gynecology especially adnexal masses and ovariantumors which represent two thirds of these cases. 2D ultrasound hasbecome the main diagnostic tool in obstetric and gynecology. 3Dultrasound, color Doppler in addition to hysterosalpingography,sonohysterography, computed tomography and magnetic resonanceimaging can help in the assessment of pelvi-abdominal masses. Thisessay shows the role of the previously mentioned tools in assessment ofpelvi-abdominal masses it was found that clinical picture has the lowestsensitivity to predict malignancy, there is no great difference between 2Dand 3D ultrasound assessment however combination of both is better thaneither alone.Color Doppler study, hysterosalpingography, sonohysterography,computed tomography and magnetic resonance imaging can improve theassessment of gynecological pelvi-abdominal masses and differentiationbetween benign and malignant masses.