Early and late complications of combination laser conization were eval
uated in 536 patients. Results of a questionnaire sent to 350 patients
specifically evaluated menstrual bleeding and menstrual pain, fertili
ty problems, and various aspects of sex life. Combination laser coniza
tion was a safe procedure, with no significant impact on fertility, se
x life, or menstrual bleeding. Postconization bleeding was a significa
nt event, but it seems possible to reduce this risk with increased sur
gical experience and optimum functioning of the laser equipment. Combi
nation laser conization is a technique suitable to 1-day surgery or ou
tpatient treatment.