What is Minimal Access Surgery? Minimal access surgery is completed with one or more small incisions instead of a large incision. The surgeon passes a telescope with a video camera through a small incision (usually only 1/4″ long) into a body cavity. The surgeon then views the surgery on a TV monitor.Minimally invasive surgery allows your surgeon to use techniques that limit the size and number of cuts, or incisions, that they need to make. It’s typically considered safer than open surgery. CONCLUSIONS: Laparoscopic surgery has demonstrably better quality-of-life outcomes than open surgery for cholecystectomy, splenectomy, and esophageal surgery. However, open hernioplasty has at least as good, if not better, health status outcomes than laparoscopic repair. Minimally invasive surgery offers patients several benefits such as smaller incisions, faster recovery times, reduced pain, and scarring. In many cases, minimally invasive surgery also offers a higher accuracy rate compared to traditional open surgery. Candidates for minimally invasive coronary surgery include patients who have: Blocked or diseased vessels on the left side of the heart only. Not had previous bypass surgery. No pre-existing scar tissue on the heart or chest. For patients with sedentary jobs, such as office work, a minimally invasive discectomy would allow that patient to begin part-time work within 1-2 weeks. For a larger surgery such as a fusion, this may take 4-6 weeks.