The 37 patients, who have had an algesic form of adhesive disease, were performed with laparoscopic adhesiolysis. Adhesive disease was after laparotomy in 35 patients, after laparoscopy in 1 patient and after abdominal trauma in 1 patient. The first laparoport and pneumoperitoneum were provided by the open way no complications in any patient. Conversion minilaparotomy was made in 4 patients because of: promoted adhesions and dense conglomerate of the intestinal loop — in 2 patients, resection of the intestine — in 1 patient and damage to the small intestine by the monopolar coagulation — in 1 patient.