High-level laparoscopic surgery enables surgeons to carry out advanced abdominal and pelvic surgery by minimal access, reducing trauma and speeding up recovery. Procedures like robotic laparoscopy and 3D imaging enhance accuracy and patient safety. Synergy with optimized recovery protocols, anaesthesia, and postoperative care enables quicker mobilization, fewer complications, and improved overall outcomes. Ongoing developments in instruments, imaging, and techniques widen the scope of procedures that can be done with minimal access.