The varicocele is the most common correctable cause of male infertility. Most studies report approximately 10% prevalence of bilateral varicoceles. The ideal method of varicocele treatment is still a matter of controversy. Laparoscopic varicocelectomy is also one of the surgical options that has recently gained popularity. From June 2004 to August 2006, three patients with bilateral varicoceles were treated with laparoscopy. The operation was performed with 3 trocars system through transperitoneal approach. The mean operative times was 61.7 minutes. There was no abnormal parameters in the postoperative semen analysis for 13.0 months of the mean follow-up. Our series supports that a laparoscopic approach to the bilateral varicoceles can be performed with short operating times, minimal operative morbidity, rapid convalescence, and a cosmetically pleasing result as small three incisions for trocars.