FIELD : medicine.SUBSTANCE : invention relates to the field of medicine, namely gynecology, and can be used to perform tub- or adnexectomy. Transumbilical access to the abdominal cavity is performed, while performing two incisions in the lower semicircle of the navel. Anterior abdominal wall is punctured in the iliac region on the side of the lesion by introducing a thread into the abdominal cavity on a needle that is stitched with mesosalpinx on the side of the lesion in the distal part of the ampulla of the fallopian tube. Perform needling on the opposite side of the lesion. Free ends of the thread is removed on the skin on both sides. By pulling the thread at its free ends, create an exposure of the organ to be removed. Mobilization and excision of the organ to be removed are performed through the transumbilical access incisions created. Removed drug is removed from the abdominal cavity.EFFECT : method provides tubectomy or adnexectomy with minimal surgical trauma, the absence of significant pain in the postoperative period, good cosmetic effect by creating the exposure of the organ to be removed using a thread instead of a third instrument.3 cl, 3 dwg, 3 ex