A new laparoscopic technique of ovarian suspension with microsuture that physically separates the ovary from
the ovarian fossa to reduce the incidence of post-operative adhesions is described. Four women with adhesions of the
ovary to the ovarian fossa and infertility underwent laparoscopic surgery with ovarian suspension. A 6-0 weight polypropylene
swaged to a tapered straight needle was passed laterally to medially through the ipsilateral round ligament, through
the mesosalpinx and then through the medial aspect of the ovarian insertion of the utero-ovarian ligament. The needle was
then passed back through the mesosalpinx and round ligament and tied. The technique, technical feasibility, ease of procedure
and post-operative complication rate is detailed. This technique separates the ovarian surface from the peritoneum
of the ovarian fossa yet maintains the normal adnexal anatomy.