The monograph is devoted to the use of median scrototomy along the Wessling line (scrotal suture) to perform simultaneous simultaneous simultaneous simultaneous surgical interventions on the organs of both halves of the scrotum. Such an intervention can be undertaken for testicular appendage cysts, testicular hydrocele, a combination of cysts and testicular hydrocele, or to perform bilateral pulpectomy or orchiectomy.Median scrotomy along the Wessling line in bilateral scrotal pathology is characterized by cosmetic advantages, convenience of surgical access, shortening the duration of surgical intervention and cost-effectiveness.