Contrary to the popular notion about most surgeons, he is one GI Surgeon who ardently sticks to the principle of ‘Primum non nocere’ (primarily do no harm). Hence if surgery has been advised to his patient, it will be only after all other less invasive or non-operative options have been considered or exhausted. Though equipped with the professional competence to do most open abdominal surgeries through the currently popular ‘key-hole route’ as well, he exercises extreme caution in his recommendation of choice between open and laparoscopic surgeries. For each surgery he takes in to consideration the risk-benefit ratio to the patient, chances of compromise in treatment, patient safety concerns, cost-effectiveness of procedure and available evidence in literature while at the same time highlighting the time-tested and convincing advantages of key-hole surgery.