In any case we should never advocate for even slightly improved cosmetic value over safety, the principal concern. This has implications in both the intraoperative and the postoperative time. While it is recommended not to consider conversion to standard multi-trocars laparoscopy a failure, it might be that, as it happened at the beginning of the diffusion of laparoscopy, an increased number of complications will be observed. In fact, as often in similar circumstances, only a minority of efforts has been dedicated to training programs and very few simulators are available yet. Moreover, it has been advocated that a larger peri-umbilical incision and consequent fascial defect would imply a higher rate of incisional hernia. Although this is likely to happen, only time and data acquired will give us the answer.