The marriage of intraluminal endoscopy (usually flexible endoscopy) and laparoscopy has allowed a creative approach to the management of both benign and malignant gastrointestinal diseases. For convenience, this combination is called EndoLap. Combining these endoscopic modalities may provide a number of advantages, including improved localization of lesions, elimination of complementary procedures, and cost savings. Since by definition EndoLap mandates expertise, equipment, and technical support for both endoscopy and laparoscopy, the successful accomplishment of an EndoLap procedure mandates a “high tech mindset” and rethinking of problems that would usually be managed by conventional surgery alone or by multiple separate procedures of open surgery, laparoscopy, and endoscopy. The following narrative gives a description of early attempts at combining laparoscopy and intraluminal endoscopy, the present status, and some possible future applications.