<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 isTotal hysterectomy with bilateral salpingo-oophorectomyFulguration of endometriotic depositsProgesterone therapyDanazol therapy  <response>: Surgery indicationsSevere symptoms unresponsive to hormone therapySevere and deeply infiltrating endometriosis which distort pelvic anatomyEndometriomas 4cmsLaparoscopy is done to destroy endometriotic lesions by excision or ablation or electrodiatherapy,or laser vaporization. Conservative surgical treatment improves fertility outcome. 