Laparoscopy (keyhole surgery) is a surgical procedure in which a telescope is inserted into the abdomen through a small incision below the navel to allow your doctor to view the reproductive organs in your pelvis. Through this procedure your doctor can diagnose many problems which could have caused your difficulty in conceiving and these conditions include, damaged or blocked fallopian tubes, pelvic adhesions, endometriosis, ovarian cysts, uterine fibroids and congenital abnormalities of the pelvic organs. When problems are found in the pelvis and provided they are surgically correctible, then operative laparoscopy can be done appropriately to restore the pelvic anatomy, unblock the tubes, remove ovarian cysts and uterine fibroids and treat endometriosis by excision or ablation.