A laparoscopy involves inserting a camera into the abdomen through a small cut in the base of the umbilicus to assess structures inside such as the uterus, fallopian tubes, ovaries and bowel. This is also often performed as day surgery and can combine the fertility assessment and diagnosis with treatment. The conditions commonly treated include endometriosis, ovarian cysts, fibroids, adhesions or scarring. Infertility associated with endometriosis can be treated successfully in many cases with in-vitro fertilisation and surgery should be reserved for cases associated with pelvic pain.