Do i need to be out for a pelvic laparoscopy?

Yes: I am assuming that you mean by "out" you mean asleep - the answer is yes. When a laparoscopy is performed, the abdomen is filled with gas which makes it difficult to breath without assistance.

Yes: Pelvic laparoscopy requires relaxation of the abdominal wall. This is best accomplished with general anesthesia, or being completely out.

General anesthesia: Since the abdomen is filled with gas, general anesthesia is best to relax the abdomen and manage the discomfort that this gas would cause.

Best: However, there were several groups in the early 1990s who were doing office laparoscopy under local anesthesia. It obviously never caught on nationwide & i'm sure patient selection was the most important factor. I've done three laparoscopies in the or under local anesthesia. They were afraid to be out. Did well, though they felt short of breath the whole time. This is not for most patients though.

Yes!: Laparoscopy is done under general anesthesia. Co2 gas is used to insuflate the abdomen and it would be very uncomfortable to do this type of surgery without general anesthesia