Situs inversus totalis (SIT) is a rare congenital condition in which the major visceral organs within the thorax and abdomen are reversed from their normal positions. Its incidence is 1 in 10 000–50 000 of the population [1]. It presents difficulties in laparoscopic surgery, because of the mirror-image anatomy. Laparoscopic surgical treatments of some conditions in patients with situs inversus totalis such as acute appendicitis, cholelithiasis, and morbid obesity have been previously reported [2–4].