Crossed testicular ectopia (CTE) is an extremely rare anomaly in which deviation of testicular descent results in unilateral location of both testes. It is usually associated with an inguinal hernia, with the spermatic cord of the ectopic testis originating from the appropriate side. Most often the diagnosis of CTE is not made until surgical exploration. We report a case of CTE in a 2-year-old boy who presented with left-sided inguinal hernia with concurrent nonpalpable right testis. Diagnosis was made during diagnostic laparoscopy followed by left open inguinal exploration during which high ligation of the left hernia and trans-septal orchiopexy, contralateral transposition tension-free for each testis was done.