The tuberculosis is the reason for kidney removal in 21—34.5% of cases. Effective treatment is possible only by various sorts of the radical and reconstructive surgical procedures influencing not only the pathological process, but also the restoration or major correction of kidney function. In the Primorsky Regional Tuberculosis Hospital in 2004—2005 four transabdominal laparoscopic nephrectomies were done. The postoperative period was smooth. On 8—10 day stitches were removed, healing of wounds was primary.