The article offers information on the Third Annual Queen Minimally Invasive Surgery Symposium on February 16-17, 2007 at the Hawai'i Prince Hotel. The symposium presented various topics including stapled anastomosis for laparoscopic colon resections, economic analysis of the management of common bile duct stones, laparoscopic Roux-en-Y gastric bypass and case report on appendiceal carcinoma on colonoscopy.