Laparoscopie surgical procedures are becoming the treatment of choice in some fields, including abdominal surgery and operative gynecology. But questions remain regarding simultaneous treatment of pathology. From 1991 to 1994, 489 patients underwent laparoscopie surgical procedures. Of these, 88 women of reproductive age (25-48 yrs) with concomitant gynecologic and surgical pathology were divided in two groups: 39 women in group 1 underwent gynecologic procedures only, and 49 in group 2 underwent combination laparoscopies (cholecystectomy, various gynecologic procedures). The operations in groups 1 and 2 were 5 salpingectomies (3 group 1/2 group 2), 19 salpingostomies (13/6), 25 cystectomies (6/19), 1 hysterectomy (0/1), 5 myomectomies (3/2), 13 photocoagulations (CO2 and Nd:YAG lasers) of pelvic endometriosis and polycystic ovaries (9/4), and 20 sterilizations (5/15). In both groups general anesthesia was given to 56 women and continuous epidural anesthesia to 32. One patient (2.56%) in group 1 required conversion to laparotomy. In group 2 the mean operating time was 90 minutes (range 60-120 min), mean postoperative hospital stay was 5 days (range 3-7 days), and mean recovery time 2.5 weeks (range 2-6 wks). No postoperative complications occurred in either group. Our results suggest that because of the high frequency of pathology in women in this age group, incidental cholecystectomy at the time of laparoscopie gynecologic procedures may be both preventive and therapeutic. Performing the operations simultaneously has the advantage of avoiding surgical trauma due to laparotomy, thus reducing postoperative complications, pain, or discomfort, and allowing a short hospital stay and rapid retum to full activity.