The emergence of Minimal Access Surgery (MAS) as a paradigm in modern healthcare treatment has created new challenges and opportunities for automated image understanding and computer vision. In MAS, images recovered from inside the body using specialized devices are used to visualize and operate on the surgical site but they can also be used to computationally infer in vivo 3D tissue surface shape, soft-tissue morphology, and surgical instrument motion. This information is important for facilitating in vivo biophotonic imaging modalities where the interaction between light and tissue is used to infer the structural and functional properties of the tissue. This article provides a review of the literature for computer vision and image understanding techniques applied to MAS images. The focus of this article is to elucidate a perspective on how computer vision techniques can be used to support and enhance the capabilities of biophotonic imaging modalities during surgery. Note that while MAS encompasses a variety of surgical specializations this review does not involve procedures performed in the interventional suite. The review has been carried out based on searches in the PubMed and IEEE databases using the article's keywords.