Pediatric cryptorchidism is a common congenital malformation in urology. The ectopic testis can be located anywhere between the lower pole of the kidney to the lower end of the inguinal canal, but the majority is located within the inguinal canal. We usually refer to cryptorchidism in which the testis is located above the internal ring of the inguinal canal as high cryptorchidism. High cryptorchidism accounts for about 15% of congenital cryptorchidism, and it is clinically tricky to deal with because of its complex anatomical factors. In recent years, with the development of urology-related technology, this situation is gradually being improved. The current clinical progress in the treatment of high cryptorchidism is reviewed as follows.