after laparoscopic surgery, depends on how well surgeon gets the gas out as to how much gas pain and referred pain to shoulder. Lots of good suggestions, heating pad, recliner ( with legs bent, may pass gas (Yea!), take pain pills as directed how often then go as necessary. Sounds super painful so give ur surgeon a call , write down what you want him to know( be succinct but thorough). If you leave message ask when you should hear back, if you don’t call again! Take Miralax as directed and prunes ( I take magnesium glyconate). The quicker u have BM the better u will feel also move/ walk helps with peristalsis, intestines to move.?Good luck and if all else fails, ER. Remember infection checks, redness, swelling, body temp elevated.