The vaginal radical surgery combined with the laparoscopy is, in the various modalities we applied it, as effective as the abdominal radical surgery while being more 'patient friendly' (surgery without scars and conservation of forms and functions if the radical trachelectomy is used). However, it requires careful patient selection. The use of laparoscopy in the field of radical surgery must not change the rules of good management of cancer patients. The cancer patients should be treated by gynaecological oncologists, who are the people best placed to appreciate all the perspectives of the problem.