ABSTRACT
Although laparoscopic surgery is by its very nature minimally invasive, it must always be considered to be major surgery. Therefore, it is important to carefully prepare the patient for surgery both psychologically as well as physically. The surgeon must also possess adequate training and experience in the operative techniques that are necessary to complete the proposed surgical procedure in a safe and efficient manner. The decision to perform any surgical procedure in a minimally invasive fashion must be consistent with the best interests of the patient. When indicated by either the patient's condition and/or surgeon experience, the decision to perform a laparotomic alternative can also serve the patient. Primum non nocere!
