Laparoscopic and other forms of minimally invasive pelvic floor defect repair represent alternative approaches to performing established procedures; laparoscopy can offer benefits to the surgeon (improved visualization, access for multiple procedures) and patient (decreased pain, scar formation, recuperation, and improved cosmesis). Many practitioners prefer the term “minimal access surgery” to the more prevalent “minimally invasive surgery,” as, ideally, only the route of access, not the procedure itself, is changed. Similarly, dialogue and debate about the merits and concerns of trocar-based mesh prolapse repair kits continue. While gynecology will benefit from further investigations of outcomes of minimally invasive pelvic reconstruction,there is evidence already that these techniques are feasible and offer options and advantages in the treatment of patients with pelvic floor disorders.