Laparoscopic pyeloplasty has now been consistently shown to offer the advantages of minimally invasive techniques with the success rate comparable to open surgery.It can become a standard of care for the treatment of UPJO as It is applicable to both primary and secondary UPJ obstruction, with or without obstructing crossing vessels.Laparoscopicpyeloplasty either done by transperitoneal or retroperitoneal approachhas comparable outcome in term of hospital stay, blood loss and postoperative complications. The experience-based approach of laparoscopic pyeloplasty has neutralized the higher conversion rate. However, retroperitoneal approach was still associated with longer operative time.