The SAGES Manual of Strategic Decision Making: Case Studies in Minimal Access Surgery presents multiple scenarios in general surgery, explores the various minimally invasive treatment options, and offers the rationale for the chosen approach. Each chapter concludes with a brief evidence-based review of the literature and where appropriate, SAGES guidelines and other approved consensus statements. Fifty scenarios in general surgery are described and possible treatment options are considered. A case presentation format is used to illustrate the authors preferred strategy, supported by evidence from the literature. Alternate approaches favored by other experts are also presented. An excellent clinical decision making tool for general surgeons and residents.