The use of laparoscopic surgery has rapidly expanded since its implementation in the mid-1980s. Significant developments in laparoscopic equipment and instrumentation have been made over time. Not only technology, but also surgical skills have improved with the incorporation of advanced laparoscopic techniques, allowing surgeons to safely perform a vast array of minimally invasive interventions. This lecture by Professor Dallemagne, from the Department of Digestive Surgery, IRCAD-EITS, University of Strasbourg (France) provides a comprehensive look at the current practice of minimally invasive surgery with regards to patient selection, preoperative evaluation, equipment, patient positioning, video equipment, and port placement.