Femtosecond laser-assisted LASIK (FSL-LASIK) has revolutionized flap creation, offering precision, predictability, and safety compared to mechanical microkeratomes. Despite advancements, specific complications related to FSL use persist. These include intraoperative challenges like flap adhesions, suction loss, opaque bubble layers (OBL), and vertical gas breakthrough, as well as postoperative complications such as diffuse lamellar keratitis (DLK), epithelial ingrowth, and dry eye syndrome. Understanding the unique attributes of different laser platforms and adopting appropriate preventive and management strategies are vital for optimal patient outcomes.