The laparoscopic gastrectomy has been popularized world-wide, and more and more clinical trials have been designed and conducted. Nowadays, lymphadenectomy is not a technical problem for Chinese surgeons, and the type of digestive reconstruction is closely related with patients' quality of life. Besides the basic principle and indication, which both laparoscopic and open gastrectomy must follow, there are some technical characteristics of laparoscopic gastrectomy. So the maneuver and methods of reconstruction for laparoscopic gastrectomy is different from open surgery. Surgeons must carefully evaluate the clinical evidences and patient's conditions, individualize the optimal type of reconstruction, and conduct clinical trials.