The microlaparoscope was used for diagnostic and operative purpose in 20 patients, including 6 GIFT and 2 microoperative procedures. No complications occurred and there was only 1 failure of the technique. Microlaparoscopy was performed successfully under local analgesia in 2 patients. The microlaparoscope may be safer and less traumatic than traditional laparoscopy. The technique is simple, effective and easy to learn. Its current place is mainly in diagnosis but with planned future improvement in instrumentation it will have a place in operative laparoscopy.