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We describe the laparoscopic removal of a gastric trichobezoar performed on an 18-year-old woman in her second trimester of pregnancy. The laparoscopic removal of a gastric trichobezoar has not previously been described in an adult. Laparoscopy during pregnancy is never without the fear of harm including spontaneous abortion of the developing fetus, however, increasing cumulative worldwide experience suggests that there is no significant difference in fetal morbidity with laparoscopy when compared with laparotomy. A review of laparoscopy in pregnancy with regard to this case is presented.