 Following his lecture on laparoscopic appendectomy, the president of the German Surgical Society wrote to the Board of Directors of the German Gynecological Society suggesting suspension of Semm from medical practice.Subsequently, Semm submitted a paper on laparoscopic appendectomy to the "American Journal of Obstetrics and Gynecology", at first rejected as unacceptable for publication on the grounds that the technique reported on was "unethical," but finally published in the journal "Endoscopy".The abstract of his paper on endoscopic appendectomy can be found at here.