The surgical steps of laparoscopic high varicocele ligation are as follows: first, take the lying position; second, disinfect; third, place the chukka for laparoscopic operation at the umbilicus as well as at the right and left Maier’s points, respectively; fourth, open up the area of the spermatic vein at the lateral peritoneum, locate the spermatic vein, and ligate the spermatic vein with the surrounding arteries and the vas deferens by freeing it sufficiently. It can be ligated with a thread or directly clamped with a titanium clip. If there is no significant bleeding, the procedure is over. Laparoscopic high varicocele ligation is a minimally invasive procedure with excellent results.