The application of laparoscopic techniques to radical cystectomy has been a recent and natural evolution of successful laparoscopic applications in renal surgery and prostatectomy. The authors' ongoing international registry comprises over 700 cases from 14 countries. Most laparoscopic radical cystectomy (LRC) operations are performed using standard laparoscopic technique, with a minority of hand-assisted or robotic-assisted procedures. This article attempts to provide an overview of the current status of LRC, with technical details, modifications, and results of various techniques as reported by the authors' group and other groups.