1) Laparoscopic surgery involves risks from insufflation of carbon dioxide into the peritoneum, which can cause cardiovascular and respiratory effects. 2) The anesthesiologist must carefully monitor the patient and choose an appropriate anesthetic technique to accommodate the physiological changes during laparoscopy and allow for early detection of potential complications. 3) While laparoscopy may offer advantages over open surgery, more research is still needed to determine whether the stress response and postoperative recovery is truly less than open procedures, especially for longer surgeries.