We present 2 cases of laparoscopic removal of a unilateral intra-abdominal testis. Removal of a unilateral intra-abdominal testis is indicated in patients more than 10 years old because the malignant potential of an intra-abdominal testis outweighs any cosmetic benefit of orchiopexy. Laparoscopic orchiectomy is a safe and effective surgical procedure for adolescents and adults with this disease entity providing outpatient therapy and prompt rehabilitation.