STUDY OBJECTIVE To identify factors associated with same day discharge (SDD) after laparoscopic surgery in gynecologic oncology. DESIGN Retrospective cohort. SETTING Teaching hospital. PATIENTS Total of 800 patients having minimally invasive surgery in the division of gynecologic oncology during a 20-month period. INTERVENTION Minimally invasive surgery cases were reviewed for determinants of SDD to identify factors that could improve the SDD rate. MEASUREMENTS AND MAIN RESULTS During the study period, 800 minimally invasive procedures were performed with a 43.0% SDD rate. Patients who had SDD were younger (52.3 years vs 58.0 years; p