Abstract: The presence of lymph node metastasis is the most important prognostic factor for vulvar cancer. Although inguinofemoral lymphadenectomy has demonstrated good oncological efficacy，it is plagued with high morbidity such as groin breakdown and infection. This surgical method causes long-time low quality of life and delay of postoperative chemotherapy and radiotherapy. Gynecologic oncologists have introduced video endoscopic inguinal lymphadenectomy（VEIL）for the management of vulvar cancer. This method can avoid the groin long incision effectively, reduce postoperative morbidity, shorten recovery time and hospital stay, and improve prognosis.