Endoscopic surgery is performed under general anaesthetic and includes hysteroscopy and laparoscopy.

Hysteroscopy involves passing a telescope into the uterine cavity through the vagina and the cervix. It is used to inspect the condition of the uterus from within. It can also be used to perform surgical procedures such as the removal of fibroids, polyps or adhesions or to correct congenital abnormalities in the uterus.

Laparoscopy involves an inspection of the pelvic organs by a telescope passed through a tiny incision at the navel. A separate small incision at the level of the pubic hair is used to introduce a probe to manipulate the pelvic organs. It is used to assess the condition of the female pelvis, check whether the fallopian tubes are open and to diagnose the presence or absence of adhesions, endometriosis or other pelvic abnormalities. Surgery can be performed through the laparoscope to treat any of these conditions.