Endometriosis is the most devitalizing disease affecting the reproductive age women and is usually characterized by 4 D’s
i.e. dysfunctional uterine bleeding, dysmenorrhea, dyspareunia and dyschezia. Now days, the detection of the disease and its
management is simplified by the presence of 4D ultrasounds, MRI and laparoscopy. In majority patients, surgical
management by minimally invasive route is the answer and so, the aim of this review is to highlight the issue in brief.