The debate about the safety of penetrating technique in laparoscopy, persist for more than four decades and still does not approach the scientifically valid decision about what method to use: closed with a Veress needle laparoscopic surgery; open laparoscopy; direct placement of troakar without prior to insufflation, visual entry methods. We're meant to look at the advantages and disadvantages of the laparoscopic approach, which we use in the Clinic of Gynaecology of the Military Medical Academy, Sofia, Bulgaria, having conducted a search in the literature and Medline from the year in which it was introduced (1971) to present. The open laparoscopy is the only method that offers a precisely controlled entrance into the abdominal cavity, with low traumas, without serious vascular and organ injuries. The advantages of this procedure are that with proper practice, it takes less time and can be used in all possible situations with low intraoperative risk, even after previous abdominal operations.