Laparoscopy is the gold-standard method for the conclusion of tuboperitoneal fruitlessness. Be that as it may, transabdominal get to in laparoscopy isn't without major dangers, counting gastrointestinal wounds and major vascular injuries. In 1998, to play down the invasiveness of laparoscopy for diagnostic purposes, transvaginal hydrolaparoscopy (THL) was presented as the primary line strategy within the investigation of the adnexal structures in barren ladies. Show of the focal points of THL, such as the ability to precisely assess adnexal structures without control, has made it clear that THL may be a less traumatic and more appropriate outpatient method than transabdominal laparoscopy. THL can be performed beneath nearby anesthesia of the back vaginal fornix. A inflexible scope is embedded transavginally through the pocket of Douglas, saline is infused for distension, and a field of vision subsequently gets to be accessible. Not at all like negligibly obtrusive endoscopic methods, the characteristic office surgey