The authors describe two types of surgical procedure carried out by means of surgical culdoscopy that have been extensively employed over the past three years at the Rambam Hospital: sterilization by ligation of the tubes ; partial resection of the ovary in the form of a spherical sector in certain cases of polycystic ovary syndrome. The advantages of this method compared with laparotomy and laparoscopy are as follows: it is carried out under local anaesthetic, the technique is simple, there are few complications, and the duration of hospitalization is short.