After years of development, single-port laparoscopic surgery has become a routine approach in gynecological procedures. Its advantages-minimal invasiveness, rapid recovery, and excellent cosmetic outcomes-have made it highly favored by patients. The unique access approach demonstrates absolute superiority in procedures such as large ovarian tumor enucleation and massive uterine myomectomy, earning strong preference from surgeons. With the widespread clinical application of single-port laparoscopic techniques, novel surgical concepts and approaches continue to emerge. To further advance the concept of minimally invasive and scarless surgery for patients with preexisting abdominal scars, this article proposes a transabdominal scar approach for single-port laparoscopic gynecological surgery. Additionally, it provides an overview of the access establishment and reconstruction, limitations, and clinical applications of this technique.