Abstract: Background: shoulder pain is a common complaint following gynecological laparoscopic surgery. Aim of this study: was to evaluate the effect of heating pads and early mobilization for reducing postoperative shoulder pain and enhancing recovery of women undergoing gynecological laparoscopic surgery. A quasi experimental design was adopted in the present study. Setting: The study was conducted at the gynecological unit at the obstetric department at Benha University Hospital during the period from March, 2015 to June, and 2015. Subjects: a systematic random sample of 343 women undergoing gynecological laparoscopic surgery was randomly allocated into two groups. Heating pads and early mobilization group and control group. Tool: Three tools were used to collect the necessary data, structured interviewing questionnaire sheet, postoperative quality of recovery score: the (QoR-40), and numerical pain rating scale was used for clinical evaluation of pain severity. Results: postoperative shoulder pain in heat pads and early mobilization group was significantly less than in the control group at different time of assessment at the immediate 4 hours after surgery and at 6, 12,and 24 hours (p