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What is fertility enhancing surgery? Laparoscopy surgery can remove the extra tissue and improve fertility. Ovarian cysts can also interfere with fertility, and laparoscopy surgery can remove them. Tubal blockages can prevent the fertilisation of the egg, and laparoscopy surgery can diagnose tubal blockage and may help in removing certain blockages. What is endoscopy for fertility? Endoscopy is a minimally invasive surgical technique used in infertility diagnosis and treatment . It includes diagnostic (to inspect pelvic organs) as well as operative ( to treat abnormalities by surgical procedures ) Laparoscopy and Hysteroscopy.