Abstract: Laparoscopic surgery has become an important modality for contemporary surgical practice, as a minimally invasive option with its many associated advantages such as shorter recovery times, decreased post-operative complications and enhanced patient outcomes. While laparoscopic surgery has widespread use in many high income countries, Nigeria has continued to struggle with the acceptance and integration of laparoscopic surgery to regular surgical practice, especially in teaching hospitals. Objective: The study aimed to assess the experience of a cohort of surgeons using laparoscopic surgery in a selection of Nigerian Teaching Hospitals, as well as readiness, technical issues and perceptions; explore potential systemic delays to implementation, and suggest ways to sustainably introduce laparoscopic surgery into surgical training and surgical practice. Methods: A mixed-methods research approach was used in the study which comprised qualitative data from 10 in-depth structured interviews with surgeons across a number of surgical specialities and quantitative data from 84 survey responses. In considering the data, both inferential and descriptive statistical analysis was performed, and the qualitative data was analysed thematically using the Braun and Clarke qualitative methodology. Results: Findings revealed that although 78.6% of teaching hospitals reported performing laparoscopic surgery, only 4.8% conducted it daily. Technical and institutional barriers were prominent: 72.6% of surgeons had no formal training, and 81% rated training as inadequate. Equipment failure (reported by 46 respondents), power outages (49 respondents), and limited maintenance access (34.5%) were key challenges. Surgeons cited lack of institutional support, inadequate funding, and limited mentorship as key impediments. Qualitative themes included institutional inertia, inequity in access, and generational resistance from senior consultants. Many respondents called for government-funded training, insurance coverage for laparoscopic procedures, and locally produced consumables to address systemic inequities. Conclusion: The research concludes that the present establishment of laparoscopic surgery is sporadic, inconsistent, and unsustainable in Nigerian teaching hospitals, challenged by systemic infrastructural, educational, and policy impediments. Meaningful change will require deliberate institutional leadership, national policy reform, established training programs, mentorship and development of appropriate infrastructure.