Abstract: Objective To evaluate the value of laparoscopy in the diagnosis of pelvic masses in perimenopausal and postmenopausal women. Methods The results of laparoscopic examination performed in 117 perimenopausal and postmenopausal women with pelvic masses were retrospectively analyzed. Results Malignant tumors in 19 cases (16.2%) and benign tumors were identified in 98 cases, and all of them managed laparoscopically. Conclusion Laparoscopy is safe and accurate in diagnosing pelvic masses in perimenopausal and postmenopausal women, and may help define the quality of the masse and provides means for early detection and treatment of malignant tumors.