Objective To evaluate the significance of laparoscopic restaging surgery for women with borderline ovarian tumors (BOT). Methods From January 1994 to July 2013, 129 patients were treated for BOT in our department, 6 of which underwent laparoscopic restaging surgery.Three patients were diagnosed as stage Ⅰa and three as stage Ⅰc after the primary surgery.The restaging surgery was performed via the laparoscopic approach in all the 6 patients. The restaging procedures included total hysterectomy, unilateral or bilateral salpingo-oophorectomy, omentectomy, pelvic lymphadenectomy, and para-aortic lymphadenectomy.A simultaneous appendectomy was conducted in 3 patients.Fertility-sparing surgery was employed in 3 childless patients. Results Among these 6 patients, 33.3% ( 2/6 ) pathological positive cases were found after the restaging surgery, including one case with bilateral persistent BOT lesions who had initially undergone bilateral cystectomy and another case with occult small BOT lesion in the preserved ovary after the primary surgery.No matastasis was found in all the specimens of omentum, lymph nodes and appendixes.One case was up-staged fromⅠa toⅠb after restaged.There were no serious intraoperative and postoperative complications.No recurrence occurred during the follow-up for 10-32 (23.2 ±9.2) months. Conclusions The results confirm the feasibility and significance of laparoscopic restaging surgery for women with borderline ovarian tumors.However, in those patients with lesions limited in the ovary in primary surgery, the implementation of lymphadenectomy, omentectomy, as well as appendectomy in the restaging surgery should be further discussed.