Introduction: laparoscopic sterilization is one of the most reliable and safe method of contraception in our country. It is widely used because of its less failure rate, side effect or complication. We have operated 9360 women over past 5 years at Civil Hospital Jetpur, Rajkot. We had found incidental finding like congenital anomalies, PID, uterine prolapse, endometriosis, fibroid, misplaced IUCD, unruptured ectopic pregnancy.Material and Method: a retrospective study was carried out at tertiary care centre in west coastal region of INDIA over a last 5 years. During the procedure some incidental finding was found like misplaced IUCD,unruptured ectopic pregnancy,uterine prolapse,PID,endometriosis and fibroid.Result: 9360 laparoscopic tubal ligation were carried out at tertiary care centre. we noticed around 106 patients having congenital anomalies,91 having PID,34 having uterine prolapse,24 having endometriosis, 17,1,2 having fibroid, misplaced IUCD and unruptured ectopic pregnancy respectively.Conclusion:Incidental finding during any laparoscopic surgery are to be expected and surgeon should well experienced,trained and aware about anatomy to deal with it.Thus laparoscopic tubal sterilization is best permanent method as contraception to control birth and also diagnostic as well as therapeutic tool for those condition which are likely to be otherwise unnoticed until patient develop complication secondary to these condition.