Background: Most demanding and challenging conditions to manage across the globe in subjects of all ages are chronic idiopathic pain syndromes. Various diagnostic advancements have been made, pain in these subjects still presents a challenge for all available diagnostic and management methods. Objectives: The present study was conducted to assess the efficacy and role of diagnostic laparoscopy in the identification of the etiology of chronic abdominal pain which is not diagnosed. Materials and methods: In 30 subjects with chronic abdominal painwith unknown etiology or who were refractory to the treatment for more than 3 months. Diagnostic laparoscopy was done for all the subjects. The collected data were subjected to statistical evaluation and the results were formulated.