Laparoscopic stoma formation is an attractive option for patients and surgeons as it is bearing all the advantages which have been observed in minimally invasive surgery in general and as it is still permitting a quick and complete exploration of the abdominal cavity. This may be especially important in cases of primary tumors of the pelvic region and Crohn’s disease. Depending on the bowel segment intended to be used for stoma formation, various technical approaches are indicated and affecting patients’ and surgeons’ positions as well as trocar placements. Hartmann’s procedures may be performed laparoscopically as well. Hardly any studies or comprehensive patient series have been published in the literature comparing both open and laparoscopic approach. In almost all retrospective reports, significant advantages were found to be associated with the laparoscopic technique in terms of general and specific postoperative morbidity.