Minimally invasive same day surgical approach. A telescope is entered through an incision about 1 cm long near the unbilicus and one to three smaller incisions are also usually made in the lower abdomen for the entry of additional instruments. The postoperative recovery usually only a few days with little time out from work. No longer is the laparoscope just a diagnostic tool. Now the surgeon can treat the endo right away - as long as the surgeon is a specialist. Some of the surgical tools being used today are; traditional scissors and forceps, laser, magnification, brilliant lighting, video cameras, and high-resolution video screens. New techniques for stopping bleeding and new materials applied during and after surgery are being used to help prevent adhesions.

The surgical techniques used include, of course, those used in major abdominal surgery.
Excision - cutting out of tissue
Vaporization - destruction of tissue by instant boiling of the cellular water with a high-power density laser or high-power density metal electrosurgical
Coagulation - a term defined by clotting (the process of changing a liquid, especially blood, into a solid) but used to mean desiccation and other processes involved in cellular death. Desiccation is the heating and drying of tissue that results in cellular death.
Ablation - destruction by any surgical means
Fulguration - superficial burning with a spark of electricity from the electrosurgical tool to the tissue.

All these techniques except fulguration must be available to the surgeon so he or she can adequately handle endometriosis surgery. The new treatment methods being used laparoscopically (mechanical, electrosurgical, laser, ultrasonic) have varying abilities to handle these basic surgical techniques. In addition some techniques are more effective in certain parts of the pelvis, and some may be more successful than others with different types of endometriosis.