Complex Crohn’s Disease is often sited as a reason for open surgery. This case demonstrates advanced laparoscopic techniques required to accomplish these difficult cases. Familiarity with the proper anatomical surgical planes, angled telescopes and surgical stapling instruments are necessary. Proper atraumatic instrumentation for usage on the bowel wall is required. Identification of the ureter is mandatory in these complex cases. A short, general review of the author’s experience with 265 patients undergoing laparoscopic surgery for Crohn’s Disease is included.