As minimally invasive surgery progresses, there have been attempts to modify the technique to minimize both the number and visibility of incisions. These newer techniques are known by multiple acronyms, including single incision laparoscopic surgery (SILS). The SILS technique has gained popularity in the United States, particularly owing to its perceived improved cosmesis. The SILS technique has been primarily used in adults, and the number of pediatric publications on the topic is underwhelming. We have begun to evaluate SILS at our centre to determine its applicability in both a Canadian and pediatric practice, and this commentary discusses our initial application of the procedure.