The safety and efficacy of laparoscopic gastrectomy in the treatment of gastric cancer have been demonstrated in many clinical studies. Most surgeons prefer laparoscopy-assisted gastrectomy with extracorporeal anastomosis rather than total laparoscopic procedures because of the technical difficulties of intracorporeal anastomosis, let alone handsewn anastomosis over stapler. Here we present a method of laparoscopic distal gastrectomy with intracorporeal handsewn billroth-I anastomosis.