Congenital anomalies of the inferior vena cava are a relatively rare pathology, usually with an asymptomatic iter. Recently we had two patients with incidental finding of left infrarenal double IVC. In this article we described management of kidney harvesting with this anomaly and review of venous anomalies in literature. During harvesting of living related kidney donor we found unexpected left infrarenal double IVC in two cases. In first case we explored and after confirmation of right-sided IVC we ligated the left sided IVC and harvested left kidney with preserving normal length of renal vein. In second one we divided left renal vein more proximal with acceptable short length renal vein to preserve patency of left IVC. We had only mild oedema and discomfort around pelvis girdle area for 2 week in first case. Duplicated inferior vena cave was found unexpectedly at the time of resection of abdominal aortic aneurysm or in patients investigated by venography or incidental finding on CT scan. In review of literature we couldn’t find any article about this anomaly during kidney harvesting. We discussed this entity and review other venous anomalies including circumaortic or retroaortic left renal vein during laparoscopic nephrectomy. Venous anomalies are not as important as arterial anomalies during kidney harvesting. We should be familiar with these anomalies and do safe operation on both donor and recipient of kidney transplantation.