Almost every day I am asked: which is better: laparoscopic or open surgery? In fact, each surgical modality has its advantages and disadvantages, and we cannot magnify its advantages indefinitely, nor can we hide its disadvantages. The advantages of laparoscopy: small trauma to the abdominal wall and fast recovery after surgery. It can satisfy the appearance requirements of the lady who loves beauty, and in fact it was invented in this context. It still has advantages for doing simple destructive surgeries such as: ectopic pregnancy, hydrocele, infertility, etc. Disadvantages: it relies on TV screen instructions, two-dimensional display, and requires a long time of training to do some simple movements. Of course someone who has done laparoscopy all their life can be very skilled. But an open surgeon with the same amount of training time can do almost any surgery. So it’s minimally invasive on the outside and massively invasive in the abdomen. It is not as intact as open to reconstruct function, such as stripping fibroids, and women with fertility needs are better off not choosing laparoscopic stripping, which destroys the uterus too much. Laparoscopy is also not recommended for patients with bilateral ovarian cysts. I have encountered several women in their 30s who have experienced ovarian failure and amenorrhea as a result of laparoscopic debridement of bilateral cysts. Because laparoscopic hemostasis depends on electrical firing, too much fire will kill the ovaries and too little fire will not stop the bleeding. Of course some people suture to stop the bleeding, but careless suturing of the ovarian door seems to stop the bleeding, but in fact the ovaries are dead. The cost is high, the hospital and doctor income is high, currently popular with doctors. Advantages of open abdomen: three-dimensional operation, you can do all the fine movements in your hands.