Objective To investigate the awareness of female patients with pelvic floor dysfunction regarding minimally invasive laser treatment of the reproductive tract and analyze the factors influencing their decision-making intentions， this study aims to provide a foundation for early treatment of pelvic floor dysfunction and further development in reproductive health management. Methods A convenience sampling method was employed to select 164 female patients with pelvic floor dysfunction who sought treatment at the Pelvic Rehabilitation Center of Dongguan Maternal and Child Health Care Hospital between June 2023 and August 2024. The study utilized the Female Sexual Function Index， Incontinence Quality of Life Questionnaire， and Family Support Self-Assessment Scale to conduct a survey. Binary logistic stepwise regression analysis was conducted to investigate the factors influencing patients' inclination towards undergoing genital laser minimally invasive treatment. Results Among the 164 female patients， 143（87.2%） expressed an intention to receive treatment， with 22.6% demonstrating a relatively clear understanding of genital laser minimally invasive treatment. Logistic regression analysis revealed that occupation significantly influenced treatment intention （P < 0.05）. Compared to healthcare professionals， individuals in the teaching profession （OR = 10.81， 95% CI： 1.04 ~ 112.21）， self-employed individuals （OR = 20.34， 95% CI ：3.46 ~ 119 .43）， and those in other professions （OR = 16.26，95 %CI： 4.05 ~ 65.29） were more inclined to express willingness for undergoing treatment. Furthermore， a lower score on the Incontinence Quality of Life scale was found to positively correlate with treatment intention （OR = 0.96，95 %CI： 0.93 ~ 0.99）. Conclusion Although patients express a high intention to undergo minimally invasive genital laser treatment， their overall awareness of the procedure remains insufficient.