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Operative Endoscopy also known as Minimal Access Surgery is one of the recent advances in Gynaecology and today is the gold standard for the diagnosis and treatment of a wide range of gynaecological problems. It involves very small or no incisions on the body, resulting not only in quicker and less painful postoperative recovery but also in minimal adhesions (one of the biggest worries of a surgeon) due to reduced tissue handling and tissue drying. Besides sophisticated instrumentation, specialised training is required to perform endoscopic surgery and cases need to be judiciously chosen so as to provide the maximum benefit . However, it is also important to appreciate that endoscopy cannot totally replace conventional surgery and it requires a prudent gynaecologist to choose cases suitable for endoscopy. Gynaecological endoscopy uses either laparoscopy, hysteroscopy or a combination of both.

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