Abstract: In recent few years, with the progress of update idea, instruments, the accumulation of experience and technology natural orifice endoscopic surgery, single orifice laparoscopic surgery and robotic surgery etc. new laparoscopic technique emerged. Traditional laparoscopic techniques have made innovations, eg gasless laparoscopic surgery is supplementary of gas laparoscopy. Indications and operating ability of operator were greatly emphasized on laparoscopic hysterectomy and myomectomy. Laparoscopic tubal conservative operation could get higher intrauterine pregnancy rate after surgery. Narrow band imaging improved laparoscopic endometriosis diagnostic accuracy. Laparoscopic surgery in gynecologic cancer was almost the same with laparotomy. Progress of laparoscopic equipment and instruments increased the safty of laparoscopic surgery.

Key words: Laparoscopy, Natural orifice, Robot, Narrow band imaging