Abstract: Objective:To evaluate the therapeutic effect of laparoscopy high ligation with two-trocars on varicocele.Methods:Seventy-six patients with varicocele were treated by laparoscopy high ligation with two-trocars.Results:The operation was successful in all the cases.The operation time was 6-20 min,and the hospital stay was 3-5 days.During the follow-up of 1 to 12 months,no testicular atrophy or recurrence was observed.Conclusions:The procedure of laparoscopy high ligation with two-trocars is safe and effective for treatment of patients with varicocele,especially for those with recurrent or bilateral varicocele.