Introduction. -The laparoscopic Davydov is described. The data concerning the surgery and the postoperative course are reported at the same time as the data concerning the anatomical and sexological results. Patients and methods. -The s urgery includes three steps: (i) cleavage under laparoscopic guidance, (ii) peri toneovestibular stitch by perineal approach, (iii) making the vaginal vault with the laparoscope. The cleavage can be performed in front of the fascia interpose d between the bladder and the rectum or behind it. A nymphoplasty can be added t o the colpopoeisis. Results. -Between February 1996 and March 2003 we operated on 28 patients affected by congenital vaginal agenesis using the laparoscopic Da vydov technique. Two peroperative complications occurred (urinary tract injuries during the first step: laparoscopic management) and two postoperative complicat ions (intraperitoneal migration of the mould and vesicovaginal fistula managed s uccessfully with the laparoscope for the first one and trough laparotomy for the second one). Four reoperations (incision and dilation) were necesssary. The len gth of the neovagina was, at the last assessment, 7.2 ±1.3cm. The Female Sexual Function Index was 26,5±5.6 vs. 27.9 ±4.5 in a control cohort. In the patient s whose cleavage was performed behind the fascia (13 cases vs. 15) no complicati on occurred, no re-operation was necessary, the length of the neovagina was 7,0 ±0,7cm and the FSFI was 26,3 ±5,9. Discussion and conclusion. -The laparoscop ic Davydov is, if the dorsal approach is used for the cleavage, an easy to make operation (operating time: 90 ±.29 minutes) with a short hospital stay. The pos toperative care is simple (vaginal mould useless). Heterosexual activity with pe nile penetration can start early (6 to 8 weeks). The level of satisfaction is hi gh. Laparoscopic Davydov procedure may be considered a good alternative to the m ore complex ones (as Vecchietti’s technique) or to the more dangerous ones (sig moid colpoplasty). The data concerning the surgery and the postoperative course are reported at the same time as the data concerning the anatomical and sexological results. Patients and methods .- The s urry includes three steps: (i) cleavage under laparoscopic guidance, (ii) peri toneovestibular stitch by perineal approach, (iii) making the vaginal vault with the laparoscope. The cleavage can be performed in front of the fascia interpose d between the bladder and the rectum or behind it. A nymphoplasty can Be added to the colpopoeisis. -Between February 1996 and March 2003 we operated on 28 patients affected by congenital vaginal agenesis using the laparoscopic Da vydov technique. Two peroperative courses occurred (urinary tract injuries during the first step: laparoscopic management) and two postoperative complicat ions (intraperitoneal migration of the mold and vesicovaginal fistula managed uccessfully with the laparoscope for t The len gth of the neovagina was, at the last assessment, 7.2 ± 1.3 cm. The Female Sexual Function Index was 26,5 ± 5.6 vs. 27.9 ± 4.5 in a control cohort. In the patient whose whose cleavage was performed behind the fascia (13 cases vs. 15) no complicati on occurred, no re-operation was necessary, the length of the neovagina was 7,0 ± 0,7 cm and the FSFI was 26,3 ± 5,9. Discussion and conclusion. -The laparoscop ic Davydov is, if the dorsal approach is used for the cleavage, an easy to make operation (operating time: 90 ± .29 The pos toperative care is simple (vaginal mold useless). Heterosexual activity with pe nile penetration can start early (6 to 8 weeks). The level of satisfaction is hi gh. Laparoscopic Davydov procedure may be considered a good alternative to the m ore complex ones (as Vecchietti’s technique) or to the more dangerous ones (sig moid colpoplasty).