Telemedicine has been used in surgery to proctor clinicians, administer specialized care, and assist during complex procedures. Telemedical technology has the potential to facilitate dissemination of novel minimally invasive surgical procedures. Local and international telementoring of advanced laparoscopic operations have been successful, providing the basis for future complete telesurgery. Technical and legal concerns exist, but are surmountable. Telemedicine will ultimately change postgraduate medical education, and may have an impact on the delivery of novel minimally invasive surgical techniques.