A 2-year-old boy from Senegal presented with bilateral undescended testes during a charity mission. The patient was born at full term and delivered vaginally without any complications. Due to lack of service, there was no attempt to orchiopexy before two years. Physical examination revealed the testes to be impalpable on the left side. The right side testis was palpable at the right inguinal area but slightly enlarged. A scrotal study revealed an empty scrotum bilaterally. Examination under general anesthesia: Due to the unavailability of a laparoscope during our charity mission, the right inguinal area was explored by open surgery. Upon opening the right inguinal region, both testes were discovered in the right inguinal canal, confirming the diagnosis of TTE (). A herniotomy was performed due to the presence of an associated hernia sac. The distally located one of the two testes was relocated to the contralateral side, specifically the left hemiscrotum. The proximally located testis was fixed in the right hemiscrotum. * Both testes were secured and fixed in the scrotum in a sub-dartos pouch fixation. The patient had a favorable postoperative course, and he was seen at the clinic two weeks postoperative with both testis palpable in the scrotum with suitable sizes and no reported complications during the follow-up. A 3-year-old male who is medically free presented with left impalpable undescended testes; the right testis is in the right haemiscrotum pouch but in its upper part and right inguinal hernia that is partially reducible during the examination. There was no attempt to orchiopexy before three years, likely due to family social issues. The procedure was surgical laparoscopic exploration under general anesthesia; the right and left spermatic cords were passed through the right internal inguinal ring with both testes on the right side (). A laparoscopic procedure was converted to open and open herniotomy with lengthening of the spermatic cord was performed. The right testis was fixed to the left hemiscrotum through the trans-septal approach. The left testis was fixed to the right hemiscrotum via sub-dartos fixation. Postoperatively, the patient tolerated the surgical procedure without any complications. The patient was followed up in the clinic for six months postoperative. Upon examination, both testes were palpable and of good size in the scrotum. We did a literature review of 5 patients diagnosed with Transverse Testicular Ectopia (TTE), summarizing the presenting symptoms, surgical methods, and outcome ().