Salpingo-oophorectomy is the surgical removal of the ovary and fallopian tubes. This procedure is commonly performed with the hysterectomy. Some of the more common reasons for salpingo-oophorectomy include ovarian cysts, endometriosis and recurrent pelvic pain. This procedure can also be performed through the laparoscope by experienced hands. Adhesions or scar tissue, which are usually involved, can make this procedure difficult and complicated and in the past always required a large abdominal incision. However, gynecologists skilled in laparoscopic surgery have perfected this technique, and in most cases are performed through the laparoscope. Patients after this type of procedure are able to go home the same day.