Abstract: Background and objective: Hot flashes symptoms are considered as the maximum popular menopausal signs that triggered scientists to look for other therapeutic methods with super-performance such as laser acupuncture. So, the main objective of the research study was to evaluate the feasibility of laser acupuncture for reducing hot flashes and offering an alternative therapy. Materials and Methods: The research study was performed on 120 menopausal cases with an age range of 40-60 years old with the continuous suffering of hot flushes. Participants have been divided into different groups as follows: (a) Laser acupuncture, (b) Oral tibolone 2.5 mg/day therapy, (c) Combined therapy and (d) No interventions. Serum FSH, LH and E2 levels have been measured before and after application management. Results: Treatment with laser acupuncture and medical therapy using oral tibolone 2.5 mg/day significantly improved the menopausal disorders with p<0.05 and p<0.03, respectively. Additionally, the combined therapy group showed higher significant decrease in the rate and number of hot flushes with p<0.001. Concerning the hormonal changes; on one side, medical drug therapy and combined therapy revealed higher significant amelioration in the FSH hormone than laser therapy; on the other side, laser therapy did not show significant differences in LH and E2. Conclusion: laser acupuncture therapy considered an efficient alternative therapy for reduction of postmenopausal hot flushes and amelioration of the hormonal disorders.