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The diagnosis and management of nephroptosis has changed significantly over the last 100 years, with nephropexy for nephroptosis transitioning from one of the most commonly performed urological procedures in the early 1900s to one that was seldom performed by the middle of the 20th century. The increased use of cross-sectional abdominal imaging towards the end of the 20th century however, has resulted in an increase in the diagnosis of nephroptosis, and the advent of minimally invasive surgery has rejuvenated interest in nephropexy. In this illustrative case report we describe the case of nephroptosis successfully treated with a laparoscopic nephropexy., (© 2024 The Authors. Published by Elsevier Inc. on behalf of University of Washington.)