[Objective]To explore the clinical effects of the high ligation of spermatic vein via retroperitoneum for varicocele.[Methods]65 cases with varicocele in the left were treated by the surgical approach and the effects were observed.[Results]The operations on 65 cases were all successful.The symptoms of varicocele disappeared.[Conclusion]High ligation of spermatic vein via retroperitoneum for varicocele is one of the surgical approaches,which is cheaper,simpler and with less wounds and higher cure rate.