@tennisgolf What does your primary care Dr say? That person knows you best. Is your concern having to agree to open surgery if they have problems, even if they plan for laproscopic? Once you are under anesthesia, they cannot wake you up to ask you to sign consent and then put you back to sleep! So they need to have everything ready to go in case they need to change what they originally plan for. Or you could have someone act as your medical directive for the surgery and then that person would have to make the decision and agreement for open surgery if they came out to him/her in the middle of surgery and said, "there's a problem we need to do an open surgery". You are asking my opinion and of course I am not a doctor and cannot give medical advice. I think it sounds like they have explained everything to you clearly. If you have any reservations ask your questions of them now. Ask your surgeon if this was his sister or Aunt asking his advice what would he tell them regarding having the surgery. And see how he responds. Good luck to you and please let us know what you decide! We Care!