Ileal-ureteral substitution is a viable surgical procedure to provide a satisfactory solution to the problem of long segment ureteric defect. We attest to the feasibility of a total laparoscopic technique to perform a ileal-ureteral interposition. Laparoscopic harvesting of a segment of the ileum as a substitute for the ureter, followed by ureteroileal and ileovesical anastomoses with pure intracorporeal laparoscopic suturing was performed in a 45-year-old female with extensive ureteric stricture following laparoscopic radical hysterectomy and postoperative radiotherapy for carcinoma cervix. Perioperative serum creatinine, electrolytes, blood gas, and a follow-up intravenous pyelography at six weeks and three months were used to assess the surgical outcome. Urinary drainage was satisfactory and renal function was improved. She did not have symptoms of urinary-tract infection or metabolic acidosis. The results of the present case are encouraging. Other clinical studies with more patients are needed to determine exact role of completely laparoscopic ileal interposition to repair the extensive ureteric stricture.