During the last 25 years, the mini-invasive surgery has radically changed the clinical practice in gynaecology. The minimal traumatic methods, such as laparoscopy and minilaparotomy arouse great interest. These methods have multiple indications and are differently interpreted and classified by researchers. In order to obtain more advantages, a new laparoscopic technology has been proposed – the so-called „laparoscopy without gas” or minilaparotomy.