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The high inguinal undescended testis is a unique clinical entity necessitating additional surgical procedures. Since the testis cannot be implanted in the scrotal sac due to the short testicular artery, transection of the artery (Fowler and Stephens procedure) is a viable alternative. The Fowler and Stephens procedure, either one- or two-stage, has remarkably good success rates, up to 80% for one-stage and 85% for two-stage. We present a 9-year-old child with high inguinal testis who underwent a one-stage open Fowler and Stephens orchiopexy to bring the testis into the scrotum.