Minimally invasive urological surgeries have revolutionized the field of urology, offering several advantages such as reduced trauma and faster recovery. However, they are not without risks, and complications can arise. This chapter presents a comprehensive overview of the recognition and management of diverse complications associated with these procedures. Vascular complications, including postoperative hemorrhage, are significant concerns. Their recognition hinges on symptoms like shock manifestations or abnormal drainage, and management ranges from conservative measures to surgical exploration. Bowel injuries, although less frequent, are critical as early diagnosis and repair are essential to prevent mortality. Acute kidney injury, oliguria, and anuria may potentially ensue following renal surgeries, thereby accentuating the paramount importance of meticulous and continuous renal function monitoring. Urinary fistulae, urine leakage, and other urinary tract injuries demand precise diagnosis using various imaging and endoscopic techniques, with treatment strategies varying from conservative to surgical depending on the severity. Lymphatic system injury, often manifested as lymphocele or chyluria, requires individualized management. Drain-related problems and pneumoperitoneum complications also need attention. Overall, a thorough understanding of these complications and their appropriate handling is vital to enhance patient safety and optimize outcomes in minimally invasive urological surgeries.