It is done Using thin laparoscopic instruments and telescope through 3 to 4 laparoscopic ports placed through small 5 to 10 millimeter incisions with the patient in a lateral position the kidney is dissected out with utmost care. The dissection is made easy due to the superior magnified vision made possible through three-chip high definition camera attached to the telescope.

After completely and safely mobilizing the kidney from its adjacent vital structures like large blood vessels, bowel, adrenal gland and spleen the blood vessels to the kidney are clipped and the kidney is removed swiftly and safely through a pre-placed incision on the pubic hair line. The first laparoscopic live donor nephrectomy was done in a forty years old man in 1995. Laparoscopic donor nephrectomy is now accepted worldwide.