Endometriomas are a frequent cause of gynaecological morbidity and they afflict 14-44 % of women with endometriosis. The survey article summarises positive sites of laparoscopic surgical treatment and adjuvant therapy by what the treatment results are improved and they minimalize the adverse impact on ovaries. The surgical removal of endometriosis influences the ovarian reserve. The radical surgical treatment should be assigned for specific situations as the treatment of accompanying symptoms. In the article there is stated experience of the authors with the surgical management of endometriomas.