**Abstract**

Laparoscopic Radical Nephrectomy (LRN) is one of the commonest minimal access urological surgical procedures for renal malignancies. The procedure involves the complete removal of the affected kidney, together with the adrenal gland and surrounding Gerota's fascia along with the ureter as distal as possible. Advantages of LRN includes decreased intra-operative blood loss, decreased post operative pain, speedy recovery and decreased duration of hospital stay. This chapter aims to describe all the operative steps in an illustrated manner and also to highlight the difficulties which may be encountered by beginners and how to troubleshoot the various difficulties and complications during the procedure.

**Keywords:** nephrectomy, radical, laparoscopic, illustrated, procedure, complications, troubleshooting
