 Acute Adhesive Small Bowel Obstruction, AASBO, is a common condition with a high incidence rate and difficulty in diagnosing. The long-term outcomes are unsatisfactory due to the high recurrence rates of adhesions following surgery. X-rays can be used to determine the main cause of the obstruction, allowing surgeons to assess the feasibility of surgery. Laparoscopy has become increasingly popular as a minimally invasive option for treating AASBO, reducing the risk of adhesion formation. This article was authored by M.K. Gulov, D.S. Salimov, S.G.A. Elizade, and others.