This invention relates to a laser piercing control system suitable for piercing on skin tissue at a predetermined area. It is characterized in that the laser piercing control system comprises a laser light source, a photographic unit, and a processing unit. The photographic unit works with the light source to capture an image. Based on the image state, the processing unit drives the excitation light, which produces laser beam, to work with the on and off of the laser trigger circuit to generate a laser beam with a predetermined energy through a laser optical module to irradiate on the skin tissue at a predetermined area.一種雷射穿孔控制系統,適用於對一預定區域的皮膚組織穿孔,其特徵在於:該雷射穿孔控制系統包括一光源、一攝影單元及一處理單元,該攝影單元配合該光源擷取一影像;該處理單元依據該影像之狀態,驅使產生雷射光束的激發光配合雷射觸發電路之啟閉經由雷射光學模組產生一預定能量的雷射光束至預定區域的皮膚組織。100‧‧‧雷射穿孔控制系統10‧‧‧控制電路11‧‧‧激發光源110‧‧‧輸入單元111‧‧‧處理單元112‧‧‧計時器113‧‧‧偵測單元120‧‧‧電源121‧‧‧電壓偵測電路122‧‧‧Er:YAG雷射電容充電電路123‧‧‧雷射觸發電路13‧‧‧雷射光學模組130‧‧‧Er:YAG晶體131‧‧‧透鏡132‧‧‧透鏡133‧‧‧分光器134‧‧‧隔離器135‧‧‧濾光片31‧‧‧光源32‧‧‧攝影單元5‧‧‧待穿孔部位501‧‧‧聚焦點位置