[The future of surgical gynecology: from dogma to science--from science to practice standard]

In the future of gynecologic surgery, there will be a reduction of traditional and an increase of endoscopic surgery. Development, progress, and realization of new technologies have to be based on scientific results, as it has been shown for the surgery of early-stage ovarian cancer. Endoscopy is already part of daily routine surgery in nearly all gynecologic departments, although important questions like the optimal technique, proper indications, and the consequences of these new technologies regarding the course of ovarian cancer are still not answered. Especially gynecological surgery has to turn away from a dogmatic way of thinking to a critical science-oriented practice in the future.