Background: The female genital TB is a persistent infectious illness that has been linked to serious morbidity in the reproductive health of women. To prevent unwanted laparotomies, diagnostic laparoscopy may help in the early identification and safe management of genital TB. Objectives: This study was planned to evaluate the role of laparoscopy in the diagnosis of genital tuberculosis in women. Methodology: Total 80 women who underwent laparoscopy and were suspected to have genital tuberculosis in last two years were included. Results: When comparing the diagnostic accuracy, all of the 80 patients with suspected diagnosis of genital TB on laparoscopy were included. As compared to laparoscopy, histopathology was able to diagnose only 10 (12.5%) cases of genital TB and CBNAAT was able to diagnoseonly 6 (7.5%) patients of genital TB. Conclusion: Laparoscopy was found to be an excellent choice to diagnose genital TB over the HPE and CBNAAT. It is recommended that further studies should be conducted to establish laparoscopy as a standard method to diagnose genital TB.