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Congenital H-type rectovaginal fistula with a normal anal opening is a rare malformation. The authors encountered such a case in a 2-month-old girl. Both direct inspection and fluoroscopic examination did not identify the location of the fistula, but passage of contrast media through the vagina was observed. Using a 3-port transperitoneal laparoscopic technique, complete resection of the fistula was successfully performed. Without a protecting colostomy, laparoscopic approach appeared to be safe and feasible in an infant with an H-type rectovaginal fistula and a normal anal opening. Division of pelvic muscle floor and perineal dissection could be successfully avoided.