Laser Oncosurgery is a field which has advanced rapidly in the last couple of years. From being a fringe player in this field it is now the treatment of choice in many cancers like basal cell carcinoma. Squamous cell carcinoma of skin. There is now a separate field in MRI guided laser ablation of Brain Tumours. Liver carcinoma is being increasingly handled by laser over surgery in specialized centres. Breast carcinoma is being handled by many centres internationally by ablation rather than open surgery. The world over application of lasers in General Surgery has been slow but steady. Surgeons are adapting to this new tool all over the world. Today lasers can be used in 70% of Non laparoscopic General Surgery though the expertise is extremely limited at present. Laser Surgery is different from routine scalpel surgery. It has the advantage of being fast, bloodless and practically no pain post op.