Background <p>Laparoscopic surgery traditionally relies on external monitors, which can lead to ergonomic strain and frequent shifts in the surgeon’s attention. Augmented Reality (AR) headsets offer a solution by integrating the surgical feed into the surgeon’s direct line of sight. We report the first documented use of an AR-guided surgery laparoscopic in Peru.</p> Methods <p>A 36-year-old female with chronic cholecystitis underwent a laparoscopic cholecystectomy. The primary surgeon used an Apple Vision Pro^® headset, while the first assistant used a Meta Quest 3^®. The laparoscopic feed, including white-light and indocyanine green (ICG) fluorescence imaging, was streamed to the headsets via a network encoder. A conventional monitor was maintained as a safety backup.</p> Results <p>The procedure was completed successfully within standard operative time. The AR interface provided stable, high-definition visualization with ultra-low latency, allowing the surgeon to maintain ergonomic alignment and situational awareness. ICG fluorescence enabled clear identification of biliary anatomy through the headset. No intraoperative complications occurred, and the patient was discharged on postoperative day one.</p> Conclusions <p>The integration of consumer-grade AR headsets in minimally invasive surgery is feasible and safe in a clinical setting in Peru. This technology enhances surgical ergonomics and visualization without compromising safety, representing a significant step forward in the evolution of surgical practice in the region.</p>