Study Objective To describe an evidence-based technique for performing laparoscopic guided Transversus Abdominis Plane (TAP) block at time of minimally invasive gynecologic surgery. Design Narrated video demonstrating surgical technique Setting The patient is placed in dorsal lithotomy position then prepped and draped in sterile fashion. After establishment of pneumoperitoneum and prior to additional trocar placement, the laparoscopic guided TAP block is performed in order to decrease perioperative pain, postoperative opioid use, time to return of bowel function, and time to discharge. Patients or Participants N/A Interventions After identification of anatomic landmarks, 7-8cc of local anesthetic is injected in 6-7 lateral locations extending from the anterior superior iliac spine to the costal margin. Our local anesthetic includes 20cc liposomal bupivacaine, combined with 30cc 0.5% bupivacaine and 30cc injectable saline for 80cc total. To locate the correct plane, the needle is inserted through the abdominal wall under laparoscopic visualization until it can be seen tenting the peritoneum. After retracting the needle slightly using tactile feedback, the local anesthetic is injected between the transversus abdominis muscle and the internal oblique muscle. A gentle bulging of the tissue, called Doyle's bulge, should be noted laparoscopically. After completion of bilateral TAP block, we proceed with the scheduled surgery. Measurements and Main Results N/A Conclusion Benefits of perioperative TAP block include decreased opioid use, quicker discharge, and faster return of bowel function at time of laparoscopic hysterectomy. Laparoscopic TAP block has demonstrated superiority over ultrasound guided approach in a randomized controlled trial. Lastly, Liposomal bupivacaine has improved benefit when compared to plain bupivacaine when used for TAP block.