The present study is focused on usability issues related to laparoscopy, emphasizing the surgeon’s overall satisfaction with the mediated perception of reality. We were particularly interested in assessing the differences between this mini-invasive surgical technique and classical surgery, trying to underline both its advantages and limits. We also tried to evaluate the level of stress induced by this method, among the surgeons who use it on a regular basis, together with the adopted coping strategies. Laparoscopy, even though grounded in classical surgery, has its own distinctive features, which require flexibility in order to facilitate the transfer of skills. Despite its limited range of applicability, used discriminatively and carefully, together with well-organized training sessions, this technique can bring satisfaction to both surgeon and patient.