An instrument for laser microprobe mass analysis (LAMMA) has been available for applied research for several years. The value of this sensitive microanalytical technique has been demonstrated in various fields of science, including medicine and biology. The LAMMA instrument comprises two laser systems. The first is a weak continuous pilot laser that can be aimed at a region of interest of the sample, e.g., a histological microtome section, using a light microscope. The second is a powerful pulsed laser that can evaporate the selected area. The generated ions are then analyzed in a time-of-flight mass spectrometer. The advantages of LAMMA present new perspectives in biomedical research. Elements can be located and analyzed down to the parts per million-level with a 1 micron spatial resolution. Speciation and/or fingerprinting of (in)organic molecules may be obtained. However, the technique is destructive, the quality of the light-microscopic view is poor, and quantification is still under investigation. In this review, the analytical characteristics of LAMMA are evaluated, including instrumental features, detection sensitivity, ionization parameters, molecular speciation, and quantification. Applications of LAMMA in medicine are reviewed, covering the microanalysis of a wide range of physiological and toxic constituents (alkali metals, calcium, aluminum, titanium, fluorine and iodine, heavy metals, transition elements, and molecular compounds).