Surgical treatment of chronic pancreatitis by Puestow procedure has been described as the operation of choice in patients who present with obstruction and dilatation of the pancreatic conduct (≥7mm) in absence on inflammatory mass of the pancreatic head. We present the case of a male patient, age 33 years old, with history of cigarette and alcohol consumption, both suspended. History of acute pancreatitis secondary to trauma in 2012 and a laparoscopic cholecystectomy in 2015. Between 2016 and 2017 he presented with pain consisting with chronic pancreatitis, diagnosed by a EUS which showed intraductal calcifications of 7 and 9 mm, irregular and dilatated conduct up to 7 mm in neck and body of the pancreas. He had poor response to conservative treatment and was consider candidate for surgical treatment. A laparoscopic lateral pancreaticojejunostomy was performed (video). He presented with adequate postsurgical evolution, no signs of inflammatory response, diet intake second day, and progression on analgesia from opioids IV to oral NSAIs. Drainage was taken away on day seven with normal values of total amylase (17 U/L). He went home on day eight. No recurrence of abdominal pain in follow-up visits.