Key Points Primary and recurrent/residual Pharyngeal Pouches up to 3cm can be safely treated with Endoscopic LASER division with primary mucosal repair Primary mucosal repair after Pharyngeal Pouch division using LASER may make Endoscopic LASER pharyngeal pouch surgery safer than cases where it is not undertaken. There is no significant difference in the number of complications for patients treated with Endoscopic LASER surgery vs Endoscopic Stapling The modal duration of inpatient stay for patients treated with Endoscopic LASER surgery with primary mucosal repair is 2 days, as opposed to 1 day for Endoscopic Stapling surgery Post-operative IV antibiotics, Nasogastric feeding, antiemetics are helpful in reducing adverse effects from Endoscopic LASER surgery for Pharyngeal Pouches