Laparoscopy essentially remained a procedure performed by gynecologists for many years. In fact, it was a gynecologist, Mouret, who in 1987 performed the first laparoscopic cholecystectomy, using four trocars. But credit is generally assigned to Dubois, who described the procedure in 1988, for initiating interest in the procedure. In the 25 years that have ensued, there has been an explosive increase in the use of laparoscopic techniques for abdominal operations. Basic laparoscopic procedures include cholecystectomy, appendectomy, and hernia repair. Advanced procedures include fundoplication, Heller myotomy, gastrectomy, bariatric surgery, esophagectomy, enteral access, bile duct exploration, partial hepatectomy, partial pancreatectomy, colectomy, splenectomy, adrenalectomy, and nephrectomy in addition to the standard gynecologic applications.9