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The authors have compared the outcome of laparoendoscopic single-site surgery (LESS) and standard laparoscopic pyeloplasty and found no benefit of LESS pyeloplasty, except for a small incision. Whenever a new approach arises, it is important to evaluate it with the existing approach to assess whether it is any better. Such studies are important for others considering a new procedure. Everything new may not be good until proved otherwise.