Single-incision laparoscopic surgery (SILS) is a “new” method to perform “old” operations. This review will discuss the history of laparoscopic surgery , Innovation in laparoscopic surgery as a general consideration, Evolution of SILS, Clinical Anatomy of the Umbilicus, basic technique of SILS, and its potential advantages and possible disadvantages. We will overview the Ergonomic principles in SILS in contrast to basic ergonomics in conventional laparoscopic surgery and the scope of SILS.