Despite repeated concerns regarding potential aerosolization in laparoscopic surgery, no evidence exists to compare this with open approaches. Laparoscopic surgery should not be treated as more or less aerosolizing than open surgery. Several techniques to minimize aerosol spread have been proposed, including tightening port sites, minimizing pneumoperitoneum, minimizing the use of energy devices, and using filtration systems and controlled deflation. Despite the COVID-19 crisis, in settings with sufficient resources, laparoscopy continues to represent an appropriate surgical modality that may offer benefits to the individual patient and healthcare system.