An efficient high-power laser operation has been demonstrated by using a cryogenic Yb:YAG composite ceramic with a total-reflection active-mirror arrangement. The composite ceramic, which had no high-reflection coating and was cooled with liquid nitrogen directly, showed four-level operation even at 67 kW/cm(3) of high pump density. A 273 W cw output power was obtained with 65% optical efficiency and 72% slope efficiency.