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For helping millions of patients to live longer and possess higher quality life, the innovation of novel surgical procedures is very necessary and urgent. This paper introduces a series of innovations of Dr. Xiujun Cai, such as Laparoscopic Peng's multifunctional operative dissector, curettage and aspiration procedure, Cai's associating liver partition with portal vein ligation for staged hepatectomy, sutureless anastomosisetc in minimally invasive field. The paper advocates the pace of medical invention should be accelerated, inspiring hope for better clinical outcomes with less invasive procedures and shorter recovery time. Keywords: Innovation, Development, Minimally invasive surgery