Background: Infertility is a major cause of morbidity in women with different pelvic pathologies (like fibroid, endometriosis, tubal defects, etc.). The present study was conducted to analyze the effectiveness of fertility promoting laparoscopy surgery. Materials and Methods: 400 cases of operative laparoscopies were performed for correction of pelvic pathology by single surgical team over a period of 2 year. Routine preoperative investigations, checkup and preparations for laparoscopy were undertaken. Laparoscopic or open myomectomy is to be decided according to situation. The pregnancy outcome following surgical corrections was noted.