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Objective: To evaluate the efficacy of a new instrument and a new surgical technique for laparoscopic assisted myomectomy. Design: Prospective controlled clinical study. Setting: Takarazuka City Hospital, Japan. Subjects: Women (78) who underwent laparoscopic assisted myomectomy. Results: During the study period all cases were successfully managed using the new technique. No complications occurred. The mean operating time was 85.5±39min. The mean myoma weight was 312±118.2g. The mean amount of blood loss was 89.3± 28.1ml. The mean amount of CO2 used throughout the procedure was 12±5.3L. The mean duration of the hospital stay was 1±0.4day. Long term follow-up showed that 66.6% of the infertile cases achieved pregnancy, improvement of menorrhagia was achieved in 76.4% of patients and remission of pelvic pain was achieved in 57.1% of patients. Conclusion: The bottom-up technique of laparoscopic assisted myomectomy using Lap Disc Mini is safe, effective and easy to use for laparoscopic management of uterine myoma.