Laparoscopy surgery is not for all kinds of medical conditions. It is not suitable for very complicated cases or when the surgeon cannot view the affected area clearly.

Longer Operation Time (Initially): The surgery would take more time than open surgery depending on the surgeon’s expertise with the laparoscopic procedure. Also it requires specialized training and equipment.

Risk of Injury to Other Organs: Though this is a remote risk, there is still a chance of damaging adjacent organs especially in more complex or difficult cases. This often occurs as a result of technical problems or abnormal anatomy. 

Not Suitable for Obese Patients: In obese patients, it is difficult to reach the surgical space, so sometimes an open surgical procedure may be required.

Costly Initial Procedure: Most of the specialized equipment required in the performance of laparoscopic surgery – such as cameras, tools, and monitors – may be a costly setup at first in medical facilities, although this can be counterbalanced with reduced recovery times and overall costs in patients.