• In out Operative hystero Laparoscopy setup we have excised multiple myomas from the uterus, excised and fulgurated advanced endometriosis, done ovarian drilling for PCOS, treated ectopic pregnancies and repaired uterine anomalies. • Using hysteroscopy. We have excised uterine septae, submucous myomas and done hysteroscopy uterine calculation. • Many of these patients have then gone on to conceive spontaneously after operative hysterolaparoscopy • Advanced fertility enhancing laparoscopic surgeries are performed on a regular basis.