Objective To explore the efficacy of laparoscopy in acute abdominal pain .Methods From March 2010 to March 2013,85 patients with acute abdominal pain were explored and treated by laparoscopy in our hospital .The clinical data of 85 cases with acute abdominal pain were retrospectively analyzed .Results The causes in 98.82%of 85 patients with acute abdomimal pain were found out.78 cases were succeeded in laparoscopy(91.76%),7cases transferred to laparotomy.The operation time ranged from 40 to 140 minutes.The patients were discharged from hospital 3 to 14 days after the operation(mean,5.5 days).No serious complications were found in the patients.The patients were follow ed up for 1 to 18 months,during which no one showed intra-o r post-operative complications.Conclusion Laparoscopy was high accurate in evaluating and applicable in treating acute abdominal pain,being a safe and effective curative method.