The applications of laparoscopic techniques continue to expand. Laparoscopic varicocele ligation offers the potential to diminish postoperative morbidity for the patient. The addition of the laparoscopic Doppler probe enables the surgeon to perform a precise ligation of the gonadal veins while preserving the spermatic artery. Longer follow-up study will be required to accurately compare clinical efficacy and fertility rates after laparoscopic varicocele ligation with the traditional methods reported.