Laparoscopic surgery is an important part of minimally invasive surgery, which is popular among physicians and patients because of its small incision, mild pain, short bed rest, and rapid postoperative recovery. However, at the same time, its own disadvantages, such as poor exposure, lack of familiar anatomical landmarks, lack of tactile feedback, inability to stop bleeding with direct compression and limited retraction of surrounding tissues, lead to unfamiliarity and difficulties for physicians accustomed to open surgery, as well as the emergence of some new minimally invasive surgical complications. At the same time, due to the unique individuality of each patient’s anatomy, physiology and disease, even the best surgeons may encounter unexpected things during surgery, so surgical complications are inevitable, but we should do our best to prevent them and try to make them understandable to the patient. Once a complication occurs, we should detect it early and treat it properly so that the risk is minimized. Urological laparoscopic surgery has some complications related to the laparoscopic operation technique, in addition to the same complications as those of conventional developmental surgery. Inadequate preoperative preparation, pneumoperitoneum, access to the procedure, separation, cutting, hemostasis or suturing can cause complications. Complications vary from laparoscopic procedure to laparoscopic procedure, and here we only present the common complications related to laparoscopic operation that can occur in all kinds of laparoscopic procedures. The overall incidence of complications in urologic laparoscopic surgery ranges from 15-20%, with the incidence of major complications estimated at 1-5%. Although the benefits of laparoscopy are clear, physicians must keep in mind that developmental surgery is the safest alternative for very complex laparoscopic procedures and that patients should be made aware that changing from laparoscopic to open surgery is not a complication but should be viewed as a prudent decision by the surgeon to avoid serious complications and death. Reducing the incidence of complications from laparoscopic surgery can be done by proper case selection, good instrument maintenance, adequate preoperative preparation and a surgeon with formal training and experience in the procedure. The selection of patients suitable for laparoscopic surgery is perhaps the most important factor in reducing surgical complications, and patients with relative or absolute contraindications to laparoscopic surgery should be considered for open surgery.