Gynecologicalsurgery refers to surgery on the female reproductive system usually performed by gynecologists. It includes procedures for benign conditions, cancer, infertility, and incontinence. Gynecological surgery may occasionally be performed for elective or cosmetic purposes. Gynecological procedures include Evaluation of abnormal uterine bleeding includes ultrasound, endometrial biopsy and Surgical procedures include hysteroscopy, endometrial ablation, uterine artery embolization, hysterectomy, exploratory laparatomy through an abdominal incision, vaginal approach, laparoscopy or robotic assistance. Gynecologists trained in minimally invasive gynecologic surgery specialize in evaluating and treating women who have a wide range of noncancerous (benign) gynecologic conditions, including heavy menstrual periods (menorrhagia), irregular menstrual periods (metrorrhagia), pelvic pain, endometriosis and ovarian cysts.