Diagnostic laparoscopy It is a surgery for women this surgical process allows a doctor to look directly at the contents of the abdomen or pelvis. How the Test is Performed The procedure is usually done in the hospital or outpatient surgical center under general anesthesia. The process is performed in the following way: The surgeon makes a small cut below the belly button. A needle or tube is inserted into incision and carbon dioxide gas is passed into the abdomen through the needle or tube. This gas will help to expand the area, giving the surgeon more room to work, and helps the surgeon see the organs more clearly. A tube is placed through the cut in your abdomen. A tiny video camera goes through this tube and is used to see the inside of your pelvis and abdomen. More small cuts may be done if other instruments are needed to get a better view of certain organs. If you are having gynecologic laparoscopy, dye may be injected into your cervix area so the surgeon can view the fallopian tubes.