Nickan Research Institute Immunopathologia Persa 2423-8015 12 2 2026 07 01 Laparoscopic management of endometriosis; new techniques and clinical outcomes e44037 e44037 10.34172/ipp.44037 EN Leili Hafizi https://orcid.org/0000-0002-5486-6032 Najmeh Parsai https://orcid.org/0000-0002-3434-9724 Yaser Abolhasani https://orcid.org/0000-0001-9634-1288 Simin Zeinadini https://orcid.org/0009-0002-9555-6759 Zahra Shahryarpanah https://orcid.org/0009-0003-1524-3638 Farkhondeh Sameipoor https://orcid.org/0009-0002-5335-8260 Sara Sadat Mirhosseini https://orcid.org/0009-0007-3350-8555 Fatemeh Sharifian https://orcid.org/0000-0002-8315-0367 Zahra Eydizadeh https://orcid.org/0009-0005-5411-6417 Farzane Hasani https://orcid.org/0009-0006-5588-8686 Journal Article 10.34172/ipp.44037 2026 04 02 2026 05 14 Laparoscopic surgery remains the gold standard for the diagnosis and management of endometriosis, offering both therapeutic and diagnostic advantages in a minimally invasive setting. Recent advances in surgical techniques and perioperative strategies have significantly improved the precision and outcomes of laparoscopic interventions. Recent evidence indicates that these refined techniques are associated with improved clinical outcomes, including sustained pain relief, enhanced fertility rates, and improved quality of life. The role of individualized surgical planning, guided by lesion phenotype and patient-specific factors, has gained increasing importance in optimizing therapeutic success. Additionally, the integration of laparoscopic surgery with adjunctive hormonal therapies and multidisciplinary care models contributes to reducing recurrence rates and improving long-term disease control. Despite these advances, challenges remain, including variability in surgical expertise, heterogeneity in disease presentation, and inconsistencies in outcome reporting across studies. Recurrence and persistent symptoms continue to affect a subset of patients, highlighting the need for standardized protocols and long-term follow-up. Accordingly, complications and recurrence are still important considerations. More extensive disease tends to require longer operations and is associated with higher conversion and complication rates, especially in stage 3–4 endometriosis. Even when surgery is technically successful, endometriosis can recur, and many authors now emphasize combining surgery with postoperative hormonal suppression when appropriate to reduce recurrent symptoms and lesion activity. This state has encouraged a more individualized model in which the surgical plan is balanced against the patient’s pain burden, fertility goals, ovarian reserve, prior operations, and tolerance for recovery time.