This paper studies 60 Patients with cerebral hydrocephalus (34 Mal, 26 females). Their age ranged between 6 months and 72 years. They were treatment with VP shunts with laparoscopic insertion of the peritoneal end. The main indication was hydrocephalus following trauma (28.3%), followed by Sylvius canal stenosis(25%), after intracerebral hemorrhage (20%), meningocele(15%) and finally by tumor- associated hydrocephalus (11.6%). 55% of patients had no previous abdominal operations and 45% have previous an abdominal procedure. The results showed that 81.6 of cases had op-duration less than one hour. Length of abdominal incision was in 88.3% less than 1.5 cm. the hospitalization was significantly shorter than open method, and so were the complications: only 3.3% had wound infection, and 8.3 had shunt obstruction. These findings support the importance of using endoscopic methods in the implantation of the distal end of catheter, as they contribute to shortening the duration of the work and reduce the length of surgical incision and shorten the period of hospitalization of patients . it is also associated with a small percentage of complication.