Pediatric syringomyelia is a common disorder in young boys, manifesting as an enlarged mass in the scrotum or groin area. It can generally be divided into testicular syringomyelia and spermatic cord syringomyelia, but of course pediatric syringomyelia is mostly caused by an unclosed sphincter and is essentially a traffic syringomyelia. Generally, the age of syringomyelia surgery is after 1 year old, and surgery is not advocated before 1 year old. The surgical methods are open surgery and minimally invasive surgery. The purpose of surgery is to ligate the sphincter at a high level so that the abdominal fluid cannot enter the unclosed sphincter and heal. Minimally invasive surgery has gradually become the mainstream surgery at present because of the advantages of small postoperative scar and the possibility of simultaneous exploration of both sides and low recurrence rate after surgery. The surgical results are satisfactory, and the recurrence rate in our hospital is currently less than 1%.