SOGC CLINICAL PRACTICE GUIDELINEIt is the Society of Obstetricians and Gynaecologists of Canada(SOGC)policy to review the content 5 years after publication,at whichtime the document may be revised to reflect new evidence or the document may be archivedNo.435,April 2023Guideline No.435:Minimally InvasiveSurgery in Fertility Therapy(En francais Directive clinique no 435:Chirurgie minimalement invasive dans le traitement de fertilite)(The English document is the original version.In the event of any discrepancy between the English and French content,the English version prevails.)This dinical practice guideline was prepared by the authors andSOGC Reproductive Endocrinology and Infertility Committeeoverseen by the SOGC Reproductive Endocrinology and Infertility(2022):Roland Antaki,Alice Buwembo,Heather CockwellCommittee.It was reviewed and approved by the SOGC(Chair),Jason Elliott,Jinglan Han,Bryden Magee,Tarek Motan,Guideline Management and Oversight Committee and SOGCMaria Velez Gomez,Marta Wais,Justin White,Areiyu Zhang,Board of Directors.Rhonda ZwingermanAuthorsDisclosures:Statements were received from all authors.Tarek Motan,MD,Edmonton,ABDr.Jason Elliott reported receiving honoraria from EMD SeronoRoland Antaki,MD,Montreal,QCfor a presentation about employment opportunities given toJinglan Han,MD,Saskatoon,SKReproductive Endocrinology and Infertility(REI)Fellows.Jason Elliott,MD,Winnipeg,MBDr.Roland Antaki reported receiving honoraria from EMD SeronoHeather Cockwell,MD,Halifax,NSand Ferring for conference presentations and is the recipient ofgrant funding from Myovant and EMD Serono.No otherrelationships or activities that could involve a conflict of interestwere declared.All authors have indicated that they meet the journal'srequirements for authorship.Keywords:infertility:minimally invasive surgical proceduresendometriosis;ovarian cysts;leiomyoma;fallopian tubeCorresponding author:Tarek Motan,tmotan@ualberta.caJ Obstet Gynaecol Can 2023:45(4):273-82https://doi.org/10.1016/jjogc.2023.03.0042023 The Society of Obstetricians and Gynaecologists of Canada/LaSociete des obstetriciens et gynecologues du Canada.Published byElsevier Inc.All rights reserved.This document reflects emerging clinical and scientific advances as of the publication date and is subject to change.The information is notmeant to dictate an exclusive course of treatment or procedure.Institutions are free to amend the recommendations.The SOGC suggests,however,that they adequately document any such amendments.Informed consent:Patients have the right and responsibility to make informed decisions about their care in partnership with their health careprovider.In order to facilitate informed choice,patients should be provided with information and support that is evidence-based,culturallyappropriate,and personalized.The values,beliefs and individual needs of each patient in the context of their personal circumstances should beconsidered and the final decision about care and treatment opti