Abstract Background Different laparoscopic approaches for insertion of a peritoneal dialysis catheter (PDC) have been adopted. Most of these techniques require 2–3 ports. One port laparoscopic technique for PDC placement was introduced by some authors to minimize potential complications. The main drawback of these techniques was the inadequate position of catheter tip and hence affecting its efficacy. The purpose of this study is to evaluate a simple modified laparoscopic technique during insertion of PDC. Results The mean age of these patients was 6 ± 4.1 years. There were 11 females. The mean body weight was 13 ± 3.3 kg. The mean operative time was 35.5 min. No operative complications occurred. Two cases had catheter obstruction. Wound infection developed in three cases. Mean follow-up period was 11 ± 5.3 months Conclusions Laparoscopic insertion of PDC in children suffering end-stage renal disease using a pre-tied catheter tip with V-loc/STRATAFIX ® size 3/0 suture and two-port-only technique was associated with shorter operative time and longer life of catheter without migration or catheter malfunction.