Form of Stock Option Certificate For Directors

Exhibit 10.20 [FORM FOR DIRECTORS] STOCK OPTION CERTIFICATE AMERICAN MEDICAL SYSTEMS HOLDINGS, INC. Grant Date Option Shares Exercise Price Expiration Date Type of Option 1. Option Grant. THIS CERTIFIES THAT, on the Grant Date set forth above American Medical Systems Holdings, Inc., a Delaware corporation (the " Company" ) has granted to: (the " Participant" ) the right and option (the right to purchase any one share of Stock hereunder being an " Option" ) to purchase from the Company the number of shares of the Company' s common stock, par value $.0l per share (" Stock" ), set forth above (the " Option Shares" ) at any time during the period commencing on the date of this Certificate and ending on the expiration date set forth above (the " Expiration Date" ). 2. Subject to Plan . The Options have been granted under the American Medical Systems Holdings, Inc. 2005 Stock Incentive Plan (the " Plan" ) and the terms of the Plan are incorporated herein by reference. In the event of any conflict or inconsistency between this Certificate and the Plan, the provisions of the Plan shall control. All capitalized terms used but not otherwise expressly defined in this Certificate shall have the meaning ascribed to them in the Plan. 3. Option Exercise Price . Each of the Options shall have a per share exercise price equal to the exercise price set forth above (the " Exercise Price" ) and shall constitute a " Non-Statutory Stock Option. 4. Limitations on Exercise of Options . (a) Except as otherwise provided in this Certificate or in the Plan, and for so long as the Participant serves on the Board of Directors of the Company, the Options shall vest and shall be exercisable as to the Option Shares during the term of service on the Board of Directors in the amount of shares and on the dates set forth on Exhibit A hereto. (b) The Committee shall have the authority to modify the vesting and exercisability of any or all of the then-unvested Options as and in the manner set forth in the Plan. 5. Termination of Service . Subject specifically to the authority of the Committee under Section 12.4 of the Plan: (a) If, prior to the Expiration Date, the Participant' s service as a member of the Board of Directors is terminated for any reason other than Cause, the Options shall remain exercisable until the earlier of the Expiration Date or five (5) years after such date of termination (the " Date of Termination" ) to the extent the Options were vested and exercisable as of the Date of Termination. (b) I ...