Laparoscopy is a procedure to evaluate the inside of the abdomen using a thin telescope type instrument called the laparoscope. A laparoscope is a slender, lighted telescope. It allows the doctor to see inside the Pelvic Area. The laparoscope is connected to a camera system and the inside of the abdomen can be clearly visualized on the monitor. During a laparoscopy, the laparoscope is inserted into the abdomen through a small incision in the abdomen. The abdomen is then filled with carbon dioxide using a catheter, allowing for better imaging of the organs in the abdomen and pelvis. Additional surgical instruments will be used at times. Instruments can then be inserted through the incision sites. Up to four small incisions can often be expected. A uterine manipulator is inserted into the vagina, cervix, and uterus to allow for pelvic organ movement to see different pelvic anatomy.