Many types of laparoscopic surgery involve removal of tissue, and virtually all of these surgeries require the use of an "endo bag" that is inserted into the body via a ports, deployed to receive the extracted tissue, closed, and then removed through one of the incisions. For small pieces of tissue, current tissue retrieval techniques are effective. Large pieces of tissue, however, pose a logistical problem during removal through the small incision typical of this technique. Larger tissues tend to bunch in the bottom of tissue removal bag when the pouch is removed from the body, which impedes their extraction and significantly prolongs the procedure. This presentation describe tissue extraction techniques used in laparoscopic surgery.