There has been much discussion on the role of metastasectomy in metastatic renal cell cancer (mRCC). The majority of clinical data on metastasectomy has come from small retrospective studies with a variety of patient types. It is unclear in what setting patients may confer the most clinical benefit. Furthermore, a large amount of clinical data supporting the added advantage of metastasectomy originates from an earlier period than the present. We report the case of a patient who presented renal carcinoma with a single peritoneal location treated by extended total nephrectomy and metastasectomy