Hernia in children is very common and the traditional surgical method is a high ligation of the hernia sac, a procedure that has been historically tested over a long period of time and is a proven and effective method. This method is still used in most children’s hospitals. The surgery can be done by simply making a small incision in the abdominal wall, using either basic or sacral anesthesia, and is so minimally invasive that some hospitals even allow the child to go home the same day after surgery. The next day the child is already running and playing. Laparoscopic hernia surgery is a new approach, claimed to be minimally invasive, however, the child needs general anesthesia and the surgery requires access to the abdominal cavity, which is disruptive for the abdominal cavity. Also, the abdominal wall requires several incisions, which is not a significant advantage over traditional surgery, both in terms of minimally invasive and surgical results. Therefore, I believe that for children, especially those under 7 years old, traditional high ligation should still be the first method of choice.