This video lecture is given by Dr R K Mishra at World Laparoscopy Hospital. The procedure is very safe an effective when performed by a properly trained physician and the technique continues to evolve as new instruments are developed. However, many physicians today still lack the skills necessary to perform myomectomies through the laparoscope and therefore do not offer them to patients. Because of the small size of the incisions and the level of skill needed to correctly perform the surgery, this procedure is actually harder for a surgeon to perform without the proper experience and takes more skill and training than abdominal surgery.