Abstract
Natural orifice transluminal endoscopic surgery (NOTES) is becoming increasingly attractive for the surgeon – but what about the gastroenterologist? Various surgical procedures such as hybrid NOTES cholecystectomy, single-incision laparoscopic surgery (SILS), transvaginal surgery with rigid endoscopes, and transumbilical surgery with flexible endoscopes (E-NOTES), all of them adopting the concept of scarless surgery, have recently been integrated into clinical routine medicine, at least in highly specialized centers. The term ”NOTES” has become a trademark for innovative, minimally invasive surgery. However, as gastroenterologists never perform such procedures, you may well ask why they should be interested in scarless surgical interventions such as NOTES cholecystectomies or appendectomies. The initial hype is over; is it now time for the gastrointestinal endoscopist to quietly retreat? The answer is: No, it is not!
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