Laparoscopy is advocated to lessen morbidity associated with more traditional open procedures. Both diagnostic and therapeutic laparoscopy may result in complications, including injury to bowel and vascular structures. Injury to the bladder during laparoscopy is a rare complication. Prior to the advent of laparoscopy, laparotomy and open repair of intraperitoneal bladder injuries was thought to be necessary in all cases. The following illustrates a safe, effective, easily learned alternative in selected cases.