The term “minimally invasive” has become more and more popular in modern medicine, and simply means that the treatment process is completed with minimal trauma. Laparoscopic surgery has become the “face” of minimally invasive surgery with small incisions, minimal trauma, and quick recovery, and often the term “minimally invasive” actually refers to laparoscopic surgery. So, in pediatric inguinal hernia and syringomyelia surgery, the wound is already very small (1 cm) and the operation time is very short (10 minutes), do we still need “minimally invasive” (laparoscopic) surgery? We believe that although traditional inguinal hernia and syringomyelia surgery is already minimally invasive, laparoscopic surgery still has clear advantages. First of all, the laparoscopic incision is much smaller, only 0.3-0.5 cm; the operation takes only about 10 minutes and also allows for a contralateral exploration to see if there are bilateral unclosed sphincters and, if so, to repair them at the same time, eliminating the risk of later contralateral recurrence! There is basically no bleeding, little pain and quick recovery after surgery; no sutures to remove stitches and no scars after surgery. Secondly, laparoscopic surgery is performed in the abdominal cavity without going through the inguinal canal, and its anatomical structure is not destroyed, avoiding the possibility of damaging the vas deferens and spermatic vessels in conventional surgery, and with proper operation, there are no complications during and after surgery. Thirdly, the incidence of pediatric inguinal hernia is high bilaterally. Conventional surgery is performed by making a large transverse incision in the middle of the lower abdomen or two small incisions on both sides, while laparoscopic surgery has the obvious advantage that bilateral surgery can be completed with only one small incision. Finally, laparoscopic repair of the internal ring orifice and the sphincter is performed under direct vision with definite results and a much lower recurrence rate.