 Hi, I am Dr. Ela Jalote. I am one of the consultants in the Department of Obzangaini in Manipal Hospital, Gurgaon. And today I want to address an issue which a lot of patients ask. That should we go in for a laparoscopic surgery or should we go in for an open surgery? Now let's understand the difference between the two. When we are talking about a laparoscopic surgery, what we are essentially doing is that we are performing surgery under camera vision without opening the abdomen. Whereas when we are talking about open surgery, we are performing the same surgery after opening the abdomen. So that is the difference between the two. Essentially the surgery that is being done inside remains the same. But since the abdomen is not opened in a laparoscopic surgery, you can understand that it would be hugely beneficial to the patient because there would be less pain, there would be less bleeding. More importantly, there would be less chances of adhesions and that will be helpful. Suppose a couple are trying to conceive and we are removing an ovarian cyst. If we are not opening the abdomen and there are less adhesions, that would help in the future reproductive life. There would also be patient has an earlier return to lifestyle. It makes us so happy when we see that a patient after laparoscopic surgery is moving about the very next day and ready to go home smiling and pain free. So a patient returns earlier to lifestyle, resumes its daily activities much earlier since the tummy is not opened so there is less pain. Also there is no prolonged rest in such a condition and the patient is not told to avoid lifting heavy loads as is commonly told in open surgery. So yes, there are certain conditions in which open surgery might be advised. But if there is an option, you should always opt for a laparoscopic surgery because that leads to a much more comfortable and pain free experience. There is less bleeding with an earlier return to normal lifestyle. Thank you.