Purpose: To determine the prevalence of endometriosis in women who had gynecologic laparoscopy at a university hospital in Saudi Arabia. Materials and Methods: The hospital records were reviewed to identify all women who had undergone gynecological laparoscopy between January 2008 and December 2013. Results: A total of 190 gynecologic laparoscopies were performed. The indications for laparoscopy were infertility (n = 76; 40%), chronic pelvic pain (n = 34; 17.9%), infertility and chronic pelvic pain (n = 7; 3.7%), ectopic pregnancy (n = 30; 15.8%), pelvic mass (n = 12; 6.3%), removal of a missing intrauterine contraceptive device (n = 6; 3.2%); other indications were documented in 25 cases (13.1%). Endometriosis was diagnosed in 21 women (11.1%). The presenting complaints in women with endometriosis were pelvic pain (n = 7; 33.3%), infertility (n =5; 23.8%), pelvic pain and infertility (n = 6; 28.6%), and pelvic mass (n = 2; 9.5%); the complaint was unknown in one patient (4.8%). Conclusion: Endometriosis was uncommon in women who had undergone gynecologic laparoscopy.