Self-expanding metal stents have been used for the palliation of esophageal carcinoma since 1990. They are easier to insert, with a lower perforation risk compared with the older plastic tubes, hence their popularity. 1 Cowling MG Hale H Grundy A Management of malignant oesophageal obstruction with self-expanding metallic stents. Br J Surg. 1998; 85: 264-266 Crossref PubMed Scopus (46) Google Scholar , 2 Neuhaus H The use of stents in the management of malignant oesophageal strictures. Gastrointest Endosc Clin N Am. 1998; 8: 503-519 PubMed Google Scholar , 3 Raijamn I Siddique I Ajani J Lynch P Palliation of malignant dysphagia and fistulae with coated expandable metal stents: experience with 101 patients. Gastrointest Endosc. 1998; 48: 172-179 Abstract Full Text Full Text PDF PubMed Scopus (185) Google Scholar However, once deployed, they are difficult to reposition and are also prone to migration; hence a series of stents has been placed in many patients. 4 Acunas B Rozanes I Akpinar S Tunaci M Acunas G Palliation of malignant oesophageal strictures with self-expanding nitinol stents: drawbacks and complications. Radiology. 1996; 199: 648-652 Crossref PubMed Scopus (117) Google Scholar , 5 Lagattolla NR Rowe PH Anderson H Dunk AA Restenting malignant oesophageal strictures. Br J Surg. 1998; 85: 261-263 Crossref PubMed Scopus (21) Google Scholar There have been sporadic reports of migrated stents being retrieved from the stomach endoscopically. 6 Nayyar S Cho KC Trotman BW Palliation of oesophageal cancer with a self-expanding, silicone covered stent and a technique for stent retrieval. J Assoc Acad Minor Phys. 1996; 7: 78-82 PubMed Google Scholar , 7 Noyer CM Forohar F A simple technique to remove migrated esophageal stents. Am J Gastroenterol. 1998; 93: 1595 Crossref PubMed Scopus (12) Google Scholar We describe a patient who had 2 such metal stents in the stomach that could not be retrieved endoscopically. The transgastric laparoscopic approach has been used for the treatment of trichobezoars, pancreatic pseudocysts and solid tumors of the stomach and duodenum. 8 Basso N Silecchia G Pizzuto G Surgo D Picconi T Materia A Laparoscopic excision of posterior gastric wall leiomyoma. Surg Laparosc Endosc Percutan Tech. 1996; 6: 65-67 Crossref Scopus (27) Google Scholar , 9 Cuesta MA Eijsbouts QA Felt-Bersma RJ van den Berg M Transgastric endoluminal laparoscopic resection of a duodenal polyp. Surg Laparosc Endosc Percutan Tech. 1998; 8: 322-323 Crossref Scopus (8) Google Scholar , 10 Geis WP Baxt R Kim HC Benign gastric tumors: minimally invasive approach. Surg Endosc. 1996; 10: 407-410 Crossref PubMed Scopus (43) Google Scholar , 11 Holeczy P Danis J Laparoscopic transgastric pancreatic pseudocystogastrostomy: first experience with extraluminal approach. Hepatogastroenterology. 1998; 45: 2215-2218 PubMed Google Scholar , 12 Ibrahim IM Silvestri F Zingler B Laparoscopic resection of posterior gastric leiomyoma. Surg Endosc. 1997; 11: 277-279 Crossref PubMed Scopus (48) Google Scholar , 13 Nirasawa Y Mori T Ito Y Tanaka H Seki N Atomi Y Laparoscopic removal of a large gastric trichobezoar. J Pediatr Surg. 1998; 33: 663-665 Abstract Full Text PDF PubMed Scopus (88) Google Scholar Simultaneous endoscopy and laparoscopy have also been used to gain better visualization and control during these procedures. 9 Cuesta MA Eijsbouts QA Felt-Bersma RJ van den Berg M Transgastric endoluminal laparoscopic resection of a duodenal polyp. Surg Laparosc Endosc Percutan Tech. 1998; 8: 322-323 Crossref Scopus (8) Google Scholar , 12 Ibrahim IM Silvestri F Zingler B Laparoscopic resection of posterior gastric leiomyoma. Surg Endosc. 1997; 11: 277-279 Crossref PubMed Scopus (48) Google Scholar We describe here a technique, building on the experience of other laparoendoscopic surgeons, to retrieve these migrated stents from the stomach.