A laser video endoscope provides a small diameter (25 mils) probe. This size probe requires a minimum access lesion. The tradeoff that produces such a probe includes reducing the laser guide fiber to 100 microns in diameter employing an image bundle having approximately 6 000 optical fibers and an illumination bundle having only about 210 optical fibers. The probe where it extends into the handle has a 45 mil outer diameter and a 5 mil thick sidewall to provide resistance to breaking at the juncture with the handle. The probe is rigid preferably metal. The probe has a larger diameter proximal portion and a smaller diameter distal portion. The distal portion of the probe has a length limited to about 710 mils. A green laser of 532 nanometers wavelength provides a collimated laser beam that causes minimal loss in the 100 micron laser optical fiber.