LaparoEndoscopic Single-site（LESS） renal surgery emerging as a potential alternative to conventional laparoscopy

is technically challenging and the major vascular anomaly may increase the risk of intraoperative haemorrhage.Herein

we present a case of right transumbilical LESS radical nephrectomy which was successfully performed in the presence of double inferior vena cava and duplicated the standard laparoscopic techniques.Most importantly

to bring such an aberrant vascular anatomy to the attention of laparoscopic

especially LESS surgeons with high resolution pictorial illustrations.