Endometriosis is a progressive disease varying from superficial to deep infiltration of peritoneum, causing infertility and pain. Objective : The aim of the study is video presentation of different stages of endometriosis and their surgical treatment. Methods : 50 cases of infertility, abdominal pain and ovarian endometriomas were studied over a period of 3 years. From 2005 to 2008. All patients underwent operative laparoscopy under general anaesthesia Observations : Early lesions can be in the form of vesicular implants, flame like spots non haemorrhagic nodule, pin head sized blue black or dark brown deposits known as gun powder lesions.