How does diagnostic laparoscopy work?

Diagnostic laparoscopy examines the pelvis and abdomen through small incisions using a camera, usually while you are under general anaesthesia. The surgeon places a laparoscope through an incision near the navel, uses gas to create viewing space, and may add instruments through other small openings. Images guide inspection and sometimes a biopsy or treatment.

The procedure can assess the uterus, ovaries, fallopian tubes, peritoneum and nearby pelvic structures. It may help investigate [Chronic Pelvic Pain](/conditions/chronic-pelvic-pain/), infertility or a suspected condition when scans do not answer the question. A [Laparoscopic Surgery System](/technology/laparoscopic-surgery-system/) provides the camera view and lets the surgeon use fine instruments.

If endometriosis or another abnormal area is found, the surgeon may take a sample or discuss treatment. In selected cases, planned treatment such as [Laparoscopic Excision of Endometriosis](/treatments/gynaecological-surgery/laparoscopic-excision-of-endometriosis/) can be performed during the same operation, depending on consent and findings.

Follow instructions about fasting, medicines and arranging an adult to take you home. Recovery commonly includes tiredness, shoulder-tip discomfort from the gas and soreness around the incisions. Walk gently as advised, keep dressings and wounds cared for according to instructions, and avoid driving or strenuous activity until you are cleared.

Call the surgical team for increasing wound redness, swelling or discharge, fever, worsening abdominal pain, repeated vomiting or difficulty passing urine. Seek urgent help for severe breathlessness, chest pain, collapse, heavy bleeding or a rapidly worsening condition.

Ask what the operation is intended to investigate, whether treatment may be done at the same time, where the incisions will be, how long recovery may take, and when you will receive findings or biopsy results.