Laparoscopy has been accepted as one of the most minimally invasive technique to tackle a multitude of pelvic pathologies even in adolescent age group.

Will be discussing laparoscopic management of rare uterine, tubal and ovarian pathologies at adolescent age group, which may present as abdominal pain. To mention few, large endometrioma of about 10-12 cms of size in an 18-year-old girl, 18 cm uterine fibroid in an 18-year-old girl, an ovarian fibroma in a 16-year-old girl, adenomyoma in an 18-year-old girl, twisted hematosalpinx in 16 year old girl and excision of functional non-communicating rudimentary horn with fallopian tube

All surgeries were performed without vaginal uterine manipulation to preserve virginity.

Utmost care was taken in each of the respective surgeries in terms of conserving ovarian tissue, ovarian blood supply, and post-operative adhesions, keeping future fertility of these young women in mind.