<prompt> A 40-year-old primiparous woman suspected to be suffering from endometriosis is subjected to diagnostic laparoscopy. Findings indicate - uterus normal, both the ovaries show presence of chocolate cysts; endometriotic deposits are seen on the round ligament right side, both the fallopian tubes and the pouch of Douglas; moderately dense adhesions are present between the fallopian tubes and the pouch of Douglas. The treatment of choice in this case is :Total hysterectomy with bilateral salpingo-oophorectomyDanazol therapyProgesterone therapyFulguration of endometriotic deposits  <response>: Surgery indications Severe symptoms unresponsive to hormone therapy Severe and deeply infiltrating endometriosis which disto pelvic anatomy Endometriomas 4cms Laparoscopy is done to destroy endometriotic lesions by excision or ablation or electrodiatherapy,or laser vaporization. Conservative surgical treatment improves feility outcome. D.C.DUTTA;S TEXTBOOK OF GYNAECOLOGY,Pg no:312,6th edition 