The difference between laparoscopic and microscopic varicocele ligation lies in the technical precision, postoperative complications, incision size, and cost of surgery. 1. Technical precision: In laparoscopic surgery, testicular artery and spermatic vein are often ligated together because they are difficult to identify, microscopic ligation can identify and ligate small veins, which can effectively protect testicular artery and lymphatic vessels. 2. Post-operative complications: Post-operative complications after laparoscopy, such as testicular atrophy, testicular syringomyelia, have a certain risk of recurrence, and some patients suffer from abdominal distension and gastrointestinal discomfort. Due to the precision of the technical level of the microscope surgery, the post-operative complications have been significantly reduced, and the recurrence rate is lower. 3. Incision size: laparoscopic surgery is more invasive, microscopic surgery is less invasive, and postoperative recovery is faster. 4. Surgical cost: Laparoscopic surgery costs more, microscopic surgery costs less. Compared to laparoscopic surgery for varicocele, the advantages of microscopic surgery are more obvious, and it is recommended to go to the hospital in time to receive professional treatment.