Laparoscopic surgery is performed via smaller incisions than traditional surgery. The procedure is done using the help of a special camera and skinny instruments. Over the last several years, the role of laparoscopic surgery has expanded to include elective splenectomy. Some patients can have a completely laparoscopic operation where the spleen is chopped into tiny pieces and removed in a bag while others may require a larger incision to assist with the removal of the spleen. The larger incision permits the use of a hand port to allow the surgeon’s hand to enter the abdomen to help remove the spleen. The incision is still smaller than the traditional cut. Hospital stay is approximately 1-5 days. Patients planning on having their spleen removed will need thorough counseling about life without a spleen as well as appropriate vaccinations to prevent future infections. Vaccinations should be given at least 2 weeks before the operation whenever possible.