This procedure is carried out under general anesthesia. The bladder of the patient will be emptied using a urethral catheter. With the help of carbon dioxide, the peritoneal cavity will be inflated to get a clearer view and make the surgery easier. Through a small incision in the abdomen a laparoscope will be inserted. The camera on top of the laparoscope helps the surgeon to view the site of operation and the organs situated therein. Miniature instruments for conducting the surgery are pushed through other small incisions made near the incision for the laparoscope. Witht the help of laser beam the surgeon cuts the posterior peritoneum. Doppler test is made use of for identifying spermatic artery. The surgeon clips the gonadal veins using endoscopic clip leaving the artery untouched .