Laparoscopic operations are a primary component of general surgery. Opportunities to perform laparoscopic operations currently vary widely between surgical training programs. As utilization of minimal access procedures increases in the future, doctors will more readily learn the skills necessary to safely accomplish these operations. Recently robotic surgery has been developed amazingly, and now tele-robotic, laparoscopic abdominal surgery is feasible with its initial outcomes being compatible with those obtained from traditional laparoscopic surgery. Therefore, the tele-robotic and robotic surgical systems are believed to overcome some of the limitations inherent to the traditional laparoscopic surgeries and to increase the number of surgeons who could perform complex laparoscopies in the future. Laparoscopic bariatric surgery is a well known procedure in western countries. It appears as effective as other laparoscopic operations and has been shown to provide excellent long term outcomes. Therefore I am trying to introduce bariatric surgery which is not much familiar in Asian countries.