Operative laparoscopy has begun to replace laparotomy for women with various pelvic diseases. The advantages of laparoscopy include less pain, reduced postoperative complications, small scars, shorter hospital stay, reduced recovery time and low cost. However, the study about operative laparoscopy during pregnancy are still rare in Korea. We experienced two cases of laparoscopy during early pregnancy. Two pregnant women with an adnexal mass underwent laparoscopic operations under general anesthesia. One patient underwent laparoscopic salpingo-oophorectomy due to ovarian cyst at 14weeks of gestation, and the other patient did laparoscopic cystectomy at 12weeks of gestation. There was no specific anesthetic problem during operation, patients had uneventful pregnancy.