Objective:To explore the value of laparoscopic surgery in the treatment of acute gynecologic abdomen.Method:206 cases of acute gynecologic abdomen,diagnosed as ectopic pregnancy,torsion of the pedicle of ovarian cyst,corepus luteum rupture,uterine perforation,red degeneration of the hysteromyoma,,acute pelvic inflammation and pelvic abscess,were treated with emergency laparoscopic surgery.Result:206 cases of a acute gynecologic abdomen were successfully managed with laparoscopic surgery without major intraoperative and postoperative complications.Conclusion:Comfirmation of diagnosis and treatment can be achieved at the same time using laparoscopic surgery for acute gynecologic abdomen,with the advantages of microsurgical trauma,little blood loss,less complications and hospitalization time.