Minimally invasive surgery (MIS) and endoscopy have revolutionized the field of gynecology, offering patients advanced surgical options with shorter recovery times, reduced estimated blood loss, and a lower incidence of complications than conventional laparotomy (LPT). The major innovation of this surgery in the gynecological field is entering the abdomen or uterus by avoiding large incisions on the skin and without affecting the surgical results and safety. This chapter will explore the different minimally invasive and endoscopic techniques used in gynecology, analyze their main differences, and comment on their advantages, disadvantages, and indications.