**11. Conclusion**

SIPES has excellent cosmesis and almost invisible scar.

We can do more than one procedure at the same time with SIPES technique. SIPES splenectomy is safe and feasible when performed by surgical trainees without adding any morbidity to the patients even those with hematological diseases.

SIPES appendectomy is feasible and safe in complicated appendicitis.

SIPES cholecystectomy MOT is comparable with conventional technique.

SIPES PIRS for inguinal herniorrhaphy is safe and efficient with good learning curve and best cosmetic result.

SIPES technique can be imparted satisfactorily to trainees. However, its successful incorporation into surgical training programs will depend on the development of innovative simulation strategies.

Our aim is to standardize this approach and to reassure our colleagues regarding the safety, feasibility, and technical challenges of SIPES.
