Abstract: With the development of laparoscopic techniques, more and more gynecological operations are performed under the laparoscope. Intestinal injury is one of the complications of gynecological laparoscopic surgery with a relatively low incidence. Some of the cases are difficult to be identified during surgery, and a delayed diagnosis can bring about serious consequences. Intestinal injury can be divided into mechanical injury and thermal injury. Adhesions in the pelvic and abdominal cavity are the main risk factors for intestinal injury in laparoscopic surgery. Pelvic and abdominal surgery and inflammatory disease can lead to pelvic-abdominal tissue adhesion. The surgeon's experience also affects the incidence of intestinal injury. Early identification of intestinal injury, as well as proper and timely treatment is critical to reducing the morbidity and mortality. The key to treating an intestinal injury is to restore the anatomy of the intestinal wall and avoid the appearance of intestinal leakage.