Objective: The aim of this article was to assess of the efficacy and safety of the laparoscopic adnexectomy in postmenopausal women with ovarian tumors. Material and methods: This article presents results of 50 cases where unilateral laparoscopic adnexectomy due to ovarian tumors in postmenopausal women was performed. Decision considering laparoscopic approach was chosen after an interview, clinical examination, level of Ca 125 antigen and results of sonography. Women with normal level of Ca 125 and not suspected sonographic evaluation of the ovarian tumors were included to our study. Results: In all our cases frozen section and final pathologic examination has shown benign ovarian tumors. Conclusions: It should be stated that in selected cases laparoscopic adnexectomy is efficacious and safe intervention in ovarian tumors treatment in postmenopausal women.