Laparoscopic radical prostatectomy (LRP) is a minimally invasive surgical technique for treating localized prostate cancer, offering improved perioperative outcomes, reduced blood loss, and faster recovery compared to open surgery. This chapter explores the technical aspects, patient selection, and surgical approach of LRP, including transperitoneal and extraperitoneal methods, nerve-sparing techniques, vesicourethral anastomosis, and lymph node dissection. The role of robotic-assisted laparoscopy in enhancing precision and ergonomics is discussed, along with complications, functional recovery (urinary continence, erectile function), and oncologic efficacy. Comparative analysis of LRP versus open and robotic-assisted techniques, alongside future advancements in laparoscopic urologic surgery, provides a comprehensive framework for understanding the evolving landscape of radical prostatectomy.