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Minimally invasive surgery has made rapid development in recent years and has become one of the most hot fields in procedural medicine. As science and medical technology have been improved, it has also made great progress in applications of gynecology. Although traditional open surgery is still has an important role in gynecology, minimally invasive surgery are attracting more and more attentions from researchers. As a representative of minimally invasive surgery, traditional laparoscopy has been a standard minimally invasive approach for gynecological diseases, which also can treat gynecological malignancies. Since traditional laparoscopy has been proven a mature technology, in this article, two evolving minimally invasive surgeries, endoscopic surgery through natural channels and robotic-assisted laparoscopic surgery are respectively reviewed. We review the main advances of these minimally invasive surgeries and their recent applications in gynecological treatments. [ABSTRACT FROM AUTHOR]