Laparoscopy is a surgical procedure in which a narrow telescope-like instrument is inserted in the belly button through a small incision. The procedure allows doctor to determine some intra abdominal problems including endometriosis, uterine fibroids, adhesions, ovarian cysts and other structural abnormalities that may cause infertility Laparoscopy is usually performed only after other infertility testing has been completed. During operative laparoscopy, many abdominal disorders can be safely treated at the same time that the diagnosis is made.