Specific indications for laparoscopic surgery include Moderate to severe pelvic pain that does not respond to drugs Presence of endometriomas Significant pelvic adhesions Fallopian tube obstruction A desire to maintain fertility Pain during intercourse Lesions are usually removed via a laparoscope; peritoneal or ovarian lesions can sometimes be electrocauterized, excised, or, uncommonly, vaporized with a laser.