Abstract: Inflammatory bowel disease can be complicated for both open and laparoscopic surgery. This video will detail the important steps and thought processes that are helpful in completing these surgeries in a laparoscopic fashion. The techniques described here have been learned from hundreds of IBD patients over the last 25 plus years of clinical practice. Midway through this experience, the author switched to an intracorporeal anastomosis. This has benefited patients in many ways, and it has become standard of practice in these complicated Crohn’s patients.