Abstract
While stomas are created traditionally with a formal laparotomy, more recently there have been many other means of creative and minimally invasive techniques that are now used to create a stoma. Laparoscopy has emerged as a front-runner in stoma creation because of the minimally invasive technique and the rather quick patient recovery. Many surgeons now believe that this should be the primary means of stoma creation. In this chapter, we will review general principles of stoma creation and describe the laparoscopic approach in detail.