Background: Thecoperitoneal shunts are the gold standard surgical treatment of Idiopathic Intracranial Hypertension after failure of conservative treatment. Many complications were encountered with traditional minilaparotomy incision for distal shunt placement specially in obese patients. We described our laparoscopic technique for distal shunt placement and compared our results with the minilaparotomy. Methods: 20 patients prospectively were operated for IIH by laparoscopic technique from May 2017 to June 2019, and retrospectively we compared another 20 patients who were operated with the minilaparotomy technique from June 2015 to August 2017 in our institution. Data were collected regarding age, weight, abdominal circumference, history of previous abdominal surgeries, postoperative complications, time of surgery, blood loss, need for repeated revisions, hospital stay, and patient satisfaction. Data were analyzed for comparison between the two groups and P-value was considered significant if