Background:Chronic abdominal pain is defined as a condition in which the patient complains of a long term persisting pain that lasts for several months (>6 months) since the irritation of pain. Chronic abdominal pain has a variety of causes which requires prompt treatment, but all of them do not require exploration. Chronic Abdominal Pain (CAP) is a common complaint of patients seeking a primary care physician, it is a leading reason for referral to a gastroenterologist and the 4th frequent chronic pain syndrome in the general population, it represent about 13% of all surgical admissions.Aims and Objectives: We aim to evaluate the diagnostic and therapeutic efficacy of laparoscopy in the management of such patients in this prospective study. Materials and Methods: Thirty five patients with chronic pain abdomen were included in this study. The pain in all these patients was either of unclear etiology or not responding to the treatment given after clinical assessment and lasting for more than 3 months duration. Pain of shorter duration and patients less than 14 years of age were excluded from the study. All patients were subjected to diagnostic laparoscopy and procedure. The results were tabulated and analyzed