Pelvic-uretero junction obstruction (PUJO) is most often a congenital problem, but it can present clinically at any time of life. After diagnosis of PUJO was confirmed anatomically with CT scan and functionally with isotope diuretic renography, surgical treatment should be offered when symptoms or complications associated with obstruction are present. Treatment options include endopyelotomy or pyeloplasty. Pyeloplasty is usually preferred as it has a better long-term success rate and can be applied to almost any anatomic variation of PUJO. Laparoscopic pyeloplasty with 3 to 4 ports is currently widely practised with success rates comparable to open pyeloplasty and with lower patient morbidity. We report our initial experience of LESS pyeloplasty in recurrent PUJO.