OBJECTIVES:  Over the past decade, laparoscopy has gained wide acceptance as a curative surgical procedure in various body organs. However, it is not known whether laparoscopic surgery is increasingly being adopted in Korea. The purpose of this study was to evaluate national trends regarding the utilization of laparoscopy for the surgical treatment in Korea.  METHODS: All laparoscopic surgeries are recorded nationwide by HIRA using the related procecure code and the code for laparoscopic devices. Using the Health Insurance Review and Assessment Service–National Inpatients Sample (HIRA-NIS), which was a stratified sampling from the entire population under the Korea national health insurance system (Year 2010, 2011, 2012, 2013, 2014), descriptive statistics for the patterns of laparoscopic surgery in various organs were performed. To identify laparoscopic surgery, we selected medical device codes of all Trocar (Blade, Bladeless, Blunt, Ballon type, etc.). The procedure codes were grouped as colorectal, esophagus, hepato-pancreatic-biliary, stomach, thoracic based on the target organs. RESULTS:  The number of laparoscopic surgery increased more than 30% over the study period, from 12,312 to 17,694. The most of cases were performed in colorectal and stomach cancer. In colorectal cancer, 4726 cases in 2010, 4960 cases in 2011, 5306 cases in 2012, 5071 cases in 2013, 5985 cases in 2014. In stomach cancer, 4004 cases in 2010, 4822 cases in 2011, 4783 cases in 2012, 4540 cases in 2013, 5457 cases in 2014. Furthermore, laparoscopy was increasing utilized in colorectal or stomach cancer related procedures; Subtotal Gastrectomy-Distal(code Q0252), Rectal and Sigmoid Resection-Anterior resection(code QA921), Rectal and Sigmoid Resection-Low anterior resection(code QA922). CONCLUSIONS:  The present study shows a significant increase in the number of laparoscopy performed in various organs as the surgical treatment in Korea from 2010 to 2014, which is in-line with recent findings of increased utilization with the rest of the world.