Background: shoulder pain is a frequent complaint following gynecological laparoscopic surgery. The aim of this study was to compare the effect of a warm pad, effleurage massage, or Trendelenburg Position for reducing shoulder pain after gynecological laparoscopic operations A quasi-experimental design was utilized in the current study. Setting: The study was conducted at the gynecological unit of the obstetric department at Beni Suef University and Zagazig University Hospitals; during the period from July 2021 to June 2022. a convenience sample of 150 women after gynecological laparoscopic operation were enrolled in the study in the following groups (warm pads group, effleurage massage group, and Trendelenburg Position group). Four instruments were used for data collection. The tool I: A semi-: structured interviewing questionnaire, Tool II: Physiologic and behavioral response to pain sheet (PBRPS), and Tool III: Numerical pain rating scale. Tool IV Pregnant Women`s satisfaction. Results: The study finding revealed that women who use effleurage massage after gynecological laparoscopic operations expressed less shoulder pain intensity than those women in the other 2 groups who use warm pads or Trendelenburg Position after gynecological laparoscopic operations with highly significant differences between the three studied groups regarding all items of the physiological responses with (p equal <0.0001). Conclusion: Effleurage Massage revealed a higher effect than both warm pad and Trendelenburg Positions in reducing shoulder pain after the laparoscopic operation. Recommendation: Nursing intervention should be updated to include non-pharmacological management of shoulder pain after the laparoscopic operation.