Nowadays, various techniques of minimally invasive surgery have been developed and a trend to perform less invasive surgery is accelerated. Reducing number of trocar insertion sites and scars is one example of this trend. Recently, single port laparoscopic surgery (SPLS) through one umbilical incision has been developed. This technique is adopted to various operations for adnexal and uterine surgery and initial reports on this novel technique have been published. Single port laparoscopic surgery is a novel technique of minimally invasive surgery and it has become more popular in gynecologic surgery field during recent years. In this article we review instrument and techniques for SPLS and we also review recent published articles for elucidating the evidence of this novel technique.