This study presents statistical data from combined and simultaneous endoscopic surgical interventions for abdominal and pelvic pathologies, comparing them to isolated endoscopic procedures. A total of 36 patients were examined (14 simultaneous, 12 isolated surgeries). Simultaneous procedures included oophorectomy with cholecystectomy (64.3%), ovariectomy with liver cystectomy (14.2%), and cholecystectomy with liver or splenic cystectomy. Comparative analysis showed no significant differences between simultaneous and isolated surgeries regarding recovery time, length of hospital stay, or postoperative complications. The main advantages of simultaneous endoscopic surgery are minimized financial costs and the avoidance of repeated anesthesia and associated stress for the patient.