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STUDY OBJECTIVE To determine the effect of an abdominal binder on recovery after laparoscopic surgery in patients with gynecologic disease. DESIGN A randomized controlled trial. SETTING A university hospital. PATIENTS Patients scheduled for gynecologic laparoscopy were randomly assigned to the abdominal binder (n = 33) and control group (n = 33). INTERVENTIONS Use of an abdominal binder following laparoscopic gynecologic surgery. MEASUREMENTS AND MAIN RESULTS 66 patients scheduled for gynecologic laparoscopy between April and August 2018 were prospectively included in the abdominal binder after laparoscopic treatment (BELT) trial. The primary outcome measure was postoperative pain severity assessed using a visual analogue scale at 12, 24, and 48 hours after surgery. Secondary outcome measures included ability to walk postoperatively, respiratory function, and degree of comfort, all assessed via the self-reported questionnaire at 48 hours after surgery. Baseline characteristics were similar in both groups. Postoperative pain scores did not significantly differ between groups. Postoperative walking and respiratory function were also statistically similar in both groups. CONCLUSION The use of an abdominal binder in patients following gynecologic laparoscopy did not enhance recovery in terms of pain, respiratory function, or physical activity.