**1. Introduction**

Single incision laparoscopic surgery encompasses a plethora of techniques and styles. Multiple names have been used to describe similar surgical techniques, including single incision laparoscopy (SILS), single port access surgery (SPA), laparoscopic endoscopic single site surgery (LESS), single laparoscopic incision transabdominal (SLIT), one-port umbilical surgery (OPUS), and natural orifice translumenal endoscopic surgery (NOTES). The purpose of this chapter is to review single incision surgery in minor gynecologic surgery and discuss currently available single incision surgical access systems, accessory instruments and surgical techniques in single incision gynecologic surgery.
