Multiple tools may be inserted into a body and/or controlled using a laparoscopic access system. For example the lap-aroscopic access system, may include a rigid tube adapted for insertion into a human body and long enough for laparoscopic use a handle including a manipulator coupled to the tube and a tool body including a tool head, slidably received in the rigid tube and long enough to extend from the manipulator with the tool head extending out a distal opening of the rigid tube and wherein the tool body mechanically couples force from the manipulator to the tool head.