Minimally invasive surgery for laryngeal cancer is an option only for a subset of patients, specifically those in the very early stages of the disease. Generally, this applies to cancers at stage T1 or those confined within the vocal cords. Procedures such as laser surgery or plasma surgery can be performed under the support of a laryngoscope. However, for cancers that are more extensive or at a later stage, minimally invasive surgery is not recommended due to the potential risks of incomplete tumor removal, tumor residue, and possibly affecting the effectiveness of subsequent treatments. Therefore, the selection for minimally invasive surgery must be under the assessment of an experienced surgeon, and regular follow-ups are necessary post-surgery to monitor for any residue or recurrence of the lesion.