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This is the most complicated of all the fundamental tests for infertility. It is performed under general anesthesia, most frequently at the end of the infertility survey. In most cases, it is done as an outpatient procedure – either in our surgery center or a hospital. Two small incisions, less than the size of your thumbnail, are made in your abdomen, one in your belly button and one in the pubic hairline. Through these incisions, instruments are inserted which enable your physician to observe the pelvic organs. During a laparoscopy, your physician is able to determine if your fallopian tubes are open and detect abnormalities on the surface of the uterus, and pelvis such as adhesions or endometriosis.