This chapter discusses laparoscopic management and prevention of pelvic adhesions and postoperative pain, where the consequences of pelvic surgery can include postoperative pain, adhesion formation, a recovery period, and postoperative fatigue. Pelvic surgery can result in both somatic pain, from the skin and wall incision, and visceral pain. Somatic pain results from nerve damage at the incisions site and later from the inflammatory reaction that is necessary for healing. The treatment of postoperative pain is limited to pain killers, which either reduce the inflammatory reaction or slow down the transmission of the pain stimulus to the brain. For the same intervention, laparoscopic surgery is considered superior to laparotomy since it is associated with less pain, a faster recovery, a shorter hospitalization period, and a more aesthetic scar. Endometriosis is associated with a chronic low-grade inflammation. Postoperative pain, postoperative ileus, and the duration of recovery are associated with severity and duration of surgery.