There is a risk that minimally invasive surgery will fall into disrepu
te unless adequate steps are taken to reassure the public. Some form o
f accreditationafter a recognised training scheme would go a long way
towards allaying thesefears. The cost of training surgeons must be add
ressed. Adequate training will probably pay dividends in reduced litig
ation. The royal colleges should be responsible for maintaining standa
rds of teaching on recognised courses, setting criteria for accreditat
ion, and supervising a national audit of all laparoscopic procedures.