From an ophthalmologist who completed 10 years of training. Laser is referring to a broad category of technology that can be applied to so many different procedures. Each has their own nuance, risks, complications and benefits. It is far easier to harm with a laser than it is to help. Even in experienced hands a straightforward laser procedure can cause permanent complications. The decision to let providers who have not had direct training learning to avoid these issues or deal with the complications is not taking these risks seriously. We discuss risks not because they may happen, but because if you do enough procedures they will happen. I don't believe that one can learn the intricacies of these procedures without completing a formalized residency on real patients with supervising attendings with exposure to the post operative complications. In medicine we believe in first do no harm. Giving widespread access to laser to people who are not adequately trained is against that tenant.