Since the turn of the century, advancements in capability using Minimally invasive surgical (MIS) techniques have been nothing short of miraculous. For this article, I have chosen to include interventional procedures (involving trans-vascular anatomical access) within the minimally invasive surgical toolkit, including endoscopy, laparoscopy, arthroscopy, and robot-assisted surgeries. However, the primary physician is different in each case. Skillsets in modern surgery coupled with impressive new technology and devices have enabled what was once highly invasive procedures to be conducted using minimal incisions, instrument/scope access (trocar or “keyhole”) ports, and sometimes just small diameter catheter vascular access.