Background: Laparoscopic gynecological surgeries have become increasingly common due to their minimally invasive nature, offering benefits such as reduced postoperative pain and shorter hospital stays. However, the choice of anesthesia technique for these procedures remains a subject of debate. This study aims to evaluate the feasibility and outcomes of performing laparoscopic gynecological surgeries under minimally invasive anesthesia, specifically targeting patient comfort, operative conditions, and postoperative recovery.Materials and Methods: A prospective cohort study was conducted involving 150 women undergoing laparoscopic gynecological surgeries under minimally invasive anesthesia. Patient demographics, surgical details, intraoperative parameters, and postoperative outcomes were recorded. Minimally invasive anesthesia involved a combination of local anesthesia, conscious sedation, and regional nerve blocks tailored to individual patient needs. Operative conditions, including surgeon satisfaction and patient comfort, were assessed using standardized scales. Postoperative recovery parameters such as time to ambulation, length of hospital stay, and incidence of complications were analyzed.Results: The cohort comprised predominantly of women aged between 25 and 45 years. The most common procedures performed were laparoscopic ovarian cystectomy and hysterectomy. Intraoperative parameters indicated favorable operative conditions, with an average surgeon satisfaction score of 8.5 out of 10. Patient comfort levels during surgery were high, with 85% of patients reporting minimal discomfort. Postoperative recovery was rapid, with patients ambulating within 4 hours on average and a mean hospital stay of 24 hours. The incidence of complications was low, with only 5% of patients experiencing minor complications such as nausea or dizziness.Conclusion: Laparoscopic gynecological surgeries performed under minimally invasive anesthesia offer a safe and effective alternative to traditional general anesthesia. This approach provides satisfactory operative conditions, high patient comfort levels, and expedited postoperative recovery. The combination of local anesthesia, conscious sedation, and regional nerve blocks appears to be well-tolerated and associated with minimal adverse effects. Further studies are warranted to validate these findings and explore the long-term outcomes of this anesthesia technique.