In gynecology, VATS can be used for conditions that impact the chest or diaphragm, which are areas closely related to pelvic organs. For example, it can be employed in the treatment of severe endometriosis, where endometrial tissue grows outside the uterus and may affect the diaphragm and thoracic cavity. Additionally, gynecologic malignancies such as ovarian cancer can metastasize to the chest, necessitating procedures like VATS for optimal diagnosis and management.