As an innovation in minimally invasive surgery, transumbilical laparoendoscopic single-site surgery has emerged recently; it follows the concept of natural orifice transluminal endoscopic surgery (NOTES) and has gained rapid progress in urology, which has promoted the advancement of concept and technique of urological surgery and yielded some valuable experience. This paper discusses the retrospects and prospects of the technique by introducing the related animal experiments, application statuses home and abroad, difficulties and advantages, future trend, and so on, hoping to guide the clinical practice.