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Vascular anatomy of the genitourinary system is essential to understand the complications related to surgeries, as it may influence the blood flow to the kidney and to the gonads. In the present case report, arterial and venous variations were presented in the kidney. The inferior polar artery to the kidney was seen to arise from the aorta on the left side and the left testicular artery was one of the branches from the inferior polar artery. On the right side, duplication of renal veins was present and right gonadal vein was draining into the accessory renal vein, instead of inferior vena cava. Knowledge regarding such variations is of much use for the vascular surgeries in the retroperitoneal region and during the transplantation surgeries. Sometimes, these accessory arteries may compress renal pelvis, causing hydronephrosis.