Surgery still remains the treatment of choice for patients of peptic ulceration with gastric outlet obstruction. With the advent of minimal access surgery, laparoscopic truncal vagotomy with gastrojejunostomy is an attractive option. Between September 2006 and May 2010, 18 patients underwent laparoscopic truncal vagotomy with gastrojejunostomy for gastric outlet obstruction with peptic ulcer. Four patients underwent stapled gastrojejunostomy and 14 patients had a sutured anasotomosis. There were no major intra-operative and postoperative complications. We conclude that the laparoscopic approach is beneficial and, with sufficient expertise, a sutured gastrojejunostomy can be safely performed, thus saving on the costs.