In recent years, laparoscopy has become standard for various indications for splenic surgery. If dissection follows anatomical principles, both total and partial splenectomies can be performed quickly and safely. Partial resection of the spleen is easier when done laparoscopically than with open technique. This means that more spleens can be preserved than would have been removed with open surgery due to fear of parenchymal bleeding. In comparison with open surgery, laparoscopy shows acceptably low morbidity and equally good therapeutic effects.