The concerns around hospitals' management, regardless of size and location, are all constructed around cost, quality and workforce (1). This would all suggest that smaller hospitals matter little in the delivery of general population healthcare at national level, larger organizations providing the dominant care. And yet, for many reasons, the role of small hospitals is not negligible. Alternative structures, policies and funding mechanisms, based on the evidence, are urgently needed to support them (2). Although some medical approaches are traditionally associated with large hospitals, they can also be successfully implemented for smaller units. This is also the case with minimally invasive treatment techniques. Minimally invasive surgery uses small incisions and specialized instruments to perform various procedures with less trauma and faster recovery than traditional open surgery. As a result, it is offering numerous benefits to patients, including reduced pain, bleeding, infection, scarring, shorter hospital stays, and improved cosmetic outcomes. Advanced procedures, traditionally associated with larger medical centers, can also be implemented in small hospitals expanding their surgical capabilities (1). This article discusses the benefits, challenges, and considerations for implementing these techniques in resource-limited settings. By adopting these advancements, small hospitals can enhance patient care, attract skilled surgeons, and strengthen their position in the healthcare landscape. Finally, also may prove benefits such as lower costs, higher efficiency, better outcomes and increased patient satisfaction. This approach rises some challenges for small hospitals, such as the need for adequate training, equipment, infrastructure and support. There may be difficulties in acquiring and maintaining specific devices, which are often expensive and complex. They may also lack qualified and experienced surgeons, nurses and technicians who can perform these procedures safely and effectively. Furthermore, it may require access to resources such as blood banks, intensive care units and referral centers in case of complications or emergencies.