In pediatric surgery there are two common surgical approaches for pediatric hernia, the common trans-annular approach and laparoscopic surgery, both of which are very minimally invasive, the trans-annular approach incision is usually 1-2 cm and the laparoscopic incision is even smaller. Therefore, it is not recommended to go to adult surgery for pediatric hiatal hernia surgery, but to go to a nearby specialty with a pediatric surgeon, and there are pediatric surgery hospitals in many areas of Anhui Province, which are not only less invasive but also safe. Laparoscopic surgery and general surgery have their own advantages General surgery features: it can be suitable for all patients, there is a certain percentage of scrotal edema and hematoma after surgery, and the operation time is usually 10 minutes-20 minutes/side. For occult contralateral hernias cannot be detected, sometimes one side is opened and the other appears shortly after surgery. Laparoscopic surgery features: the incision is inside the belly button, basically no scar is left, there is no scrotal hematoma or edema, it is possible to see if there is a lesion on the opposite side, and if it exists it can be treated together, avoiding the possibility of a hernia on the opposite side after surgery. The cost of laparoscopy increases.