Background:
Organ preservation in patients suffering from gynecological tumours has become more relevant as well as minimal invasive therapy. The removal of the uterus and ovaries lead to endocrinological alterations and psychological problems.
Even in patients with bigger benign or malign tumours laparoscopic fertility preservation can be possible.

Material and Methods:
We present case series of patients with benign and malign tumours treated by laparoscopic fertility and organ preserving techniques.

Result:
Preservation of organs by minimal invasive therapy can be safe regarding short and long term outcome.

Conclusion:
Operative strategies should be changed focussing on the implementation of minimal invasive organ preservation.