Objective To describe a robotic-assisted laparoscopic (RAL) technique for using the appendix to repair ureteral stricture disease Materials and Methods A case of a patient presenting with a 5-cm obliterative right ureteral stricture was reviewed, and surgical technique, complications, and outcomes were reported. Results Our patient developed a right-sided 5-cm obliterative ureteral stricture secondary to recurrent stone disease and pyelonephritis. He underwent an uncomplicated RAL repair of his stricture with interposition of the appendix between the 2 segments of ureter. Operative time was just over 6 hours, blood loss was minimal, and there were no complications. A 10-month follow-up showed resolution of hydronephrosis with no flank pain. Conclusion We report our initial experience with this procedure and believe that RAL appendiceal interposition for ureteral stricture disease presents an excellent option for reconstruction.