Objective: This study aimed to evaluate the operative outcomes and postoperative complications of laparoscopic hysterectomy (LH) for endometriosis. Methods: A retrospective cohort analysis was conducted on 30 patients who underwent LH for endometriosis between May 2023 and May 2024 at the Department of Obstetrics and Gynecology, KVG Medical College and Hospital, Sullia. Inclusion criteria encompassed radiologically diagnosed endometriosis and procedures such as endometrioma enucleation or ureterolysis, while bowel or urinary tract surgeries were excluded. Data on demographics, surgical details, and complications (Clavien-Dindo classification) were extracted from medical records. Statistical analysis included chisquare tests, logistic regression, and descriptive statistics. Results: The median age was 44 years (range: 28–54), with a median operative time of 113 minutes (range: 27–365) and blood loss of 100 mL (range: 10–2000). Intraoperative complications occurred in 3.0% of cases, while postoperative complications were observed in 13.8%, predominantly Clavien-Dindo grade 1–2 (9.8%). Major complications (grade ≥2) were inversely associated with age (OR 0.94, 95% CI 0.90–0.99) and positively correlated with previous endometriosis surgery (OR 1.62, 95% CI 1.01–2.60). Preoperative medical treatment reduced complication risk (OR 0.50, 95% CI 0.31–0.81). Conclusion: LH for endometriosis is associated with low intraoperative morbidity but notable postoperative complications, influenced by age, prior surgery, and medical therapy. These findings underscore the importance of preoperative counseling and optimization.