Both laparoscopic and open surgery have specific advantages and considerations based on the clinical situation. Laparoscopic surgery, being minimally invasive, provides less postoperative pain, shorter hospitalization, quicker recovery, and improved cosmetic outcomes. Open surgery, however, can still be required for intricate procedures, severe disease, or when laparoscopic access is compromised. Patient selection and surgeon experience are key elements in producing maximum benefits. Evidential support remains strong for extending laparoscopic methods into various surgical disciplines, such as general, colorectal, gynecologic, and urologic surgery. Comparative analyses emphasize equivalent or better long-term outcomes through laparoscopic methods, all while ensuring safety and efficacy. Surgeons need to balance benefits, constraints, and complications of each method in order to deliver individualized patient treatment with primacy given to surgical success and quality of life.