Background: Traditional open orchiopexy remains the gold standard for palpable undescended testicles. Several authors recently noted successful outcomes in therapy of palpable cryptorchidism using laparoscopic approach. Objectives: This review article aimed to compare outcomes of laparoscopic versus open orchiopexy in peeping and high inguinal undescended testis. Conclusion: Both laparoscopic and open orchiopexy were safe & effective in cure of peeping and high inguinal undescended testis. However, laparoscopic orchiopexy was superior to open orchiopexy as it was associated with better outcomes as regards final testicular position at the bottom of the scrotum or low level below the mid-scrotal point and shorter hospital stay. It was also associated with non-significantly higher success rate. Further comparative research with greater sample size & longer follow-up are required to approve results & to identify risk factors of adverse events.