Recent studies have shown that all types of varicocele should be actively treated after suffering from varicocele, especially those with infertility and semen abnormalities should be operated as soon as possible regardless of the severity of the symptoms, and only early surgery can minimize the impact of varicocele on fertility. At present, the main surgical methods used are high level ligation of the internal spermatic vein, internal spermatic vein diversion, percutaneous internal spermatic vein embolization, and the recently developed laparoscopic spermatic vein ligation. Among them, laparoscopic internal spermatic vein high ligation is still the most widely used procedure in clinical practice because it is convenient and easy to promote. Compared with open surgery, laparoscopic spermatic vein ligation has the following advantages: 1, because a small incision can be used to perform bilateral spermatic vein ligation at the same time, no additional incision is needed, saving time, no incision, small trauma, and no suture is needed for the postoperative wound; 2, the laparoscope has a magnifying effect and a clear view (the mirror can magnify the spermatic vein 8 times), which is conducive to thoroughly distinguishing the spermatic vessels and preventing the testicular artery from being mistakenly tied. The advantages such as quick recovery after surgery are gradually accepted by the majority of patients. 4. Due to the high position of ligation, the vas deferens and the arteries and veins will not be damaged. 5.If varicocele recurs after open surgery, it is more difficult to operate again because of the adhesions at the original incision, and the effect is not good, and the proportion of patients with bilateral varicocele is larger among those who recur after open surgery; while laparoscopic high ligation of the spermatic cord can be performed without the original incision adhesions, and high ligation can be performed above the adhesions, which is also less traumatic, with good effect and low recurrence rate. It is also less invasive, more effective and has a lower recurrence rate. Laparoscopic high ligation of the internal spermatic vein should be the procedure of choice in hospitals that are in a position to do so. 6.It is also possible to explore other lesions in the abdominal cavity, such as uterine adnexa, large and small intestine and other organs in the pelvic area for any abnormalities during this laparoscopic surgery.