Laparoscopic surgery is a less invasive treatment with faster recovery time, less pain, and less scaring than conventional open surgery. It has become popular in many fields of surgery including cancer surgery. There are studies which examines the factors related to infection and incisional herniation after laparoscopy at the umbilicus, as compared with those at remote sites. The wound infection rate was found to be 6%: 7% at the umbilicus (9% after cholecystectomy and 2% after other operations [p<0.05]) and 0% at remote sites (p<0.05). Excluding cholecystectomy, the umbilical infection rate was 2%, similar to that at remote sites. The postoperative ventral hernia rate was at 0.8%, the same at the umbilicus as elsewhere. The rate was similar for gallbladder and nongallbladder operations and correlated with the postoperative wound infection rate, but not with the preexisting fascial defect rate. Wound infection at the umbilicus is similar to that at other sites, except after cholecystectomy. Postoperative ventral hernia at the umbilicus is similar to that at other sites and not related to preexisting fascial defects.