With the development of medical technology and medical equipment, minimally invasive surgery has gradually entered the vision of ordinary people and become one of the necessary weapons for people to choose medical treatment. The so-called minimally invasive treatment refers to the invasive examination or treatment through the intervention of human tissues and organs or cavities by the laparoscopic technology, which has the characteristics of small trauma, clear vision and fast recovery of the patients after the operation compared with the traditional open treatment. This technology has been increasingly used in all corners of clinical medicine, the trend of replacing traditional surgery. Pediatric hernia is one of the most common diseases in pediatric surgery, and it is also the disease that requires surgical treatment most often in pediatric surgery. As with other common diseases, the pioneering and development of minimally invasive surgery has brought new options for the treatment of pediatric hernia. There is a growing interest in curing the disease as well as improving the quality of life (including aesthetics) after surgery. Therefore, more patients will pursue more effective, reliable, and rational treatment. In my clinical work in the outpatient clinic, I am often asked by patients’ parents whether minimally invasive treatment can be used for pediatric hernia. How to choose between minimally invasive treatment and traditional surgical treatment? What are the advantages of each treatment? And so on. Most of these parents learned about the concept of minimally invasive surgery from the Internet, but most of them only know it as a term, which makes them have a lot of questions about the choice of treatment. Well, the first thing I would like to make clear to parents is that pediatric hernias can be treated with minimally invasive surgery (translaparoscopic surgery), but not all patients are suitable for this method. In other words, both methods have their own advantages, and different patients should choose different methods. Traditional surgery, which has been clinically tested for decades and also proven to be effective and reliable, should be suitable for all children and can be performed in all primary hospitals. Laparoscopic surgery, on the other hand, is an emerging treatment modality that can only be performed in large hospitals with better medical conditions and higher medical standards. In recent years, with the accumulation of clinical experience, we believe that there are certain advantages in treating pediatric hernia via laparoscopy. We currently use a modified single-port laparoscopic sleeve technique making the incision smaller and addressing the demand for aesthetics. Moreover, transperitoneal laparoscopic surgery allows for intraoperative contralateral exploration and avoids the possibility of a secondary surgery on the contralateral side. In addition, transperitoneal laparoscopic surgery can reduce the occurrence of postoperative scrotal edema or hematoma, and the rate of ipsilateral recurrence after surgery will be lower. Based on current clinical experience, we believe that especially for girls’ hernias, bilateral hernias, recurrent hernias, and traffic syringomyelia, the use of modified single-port laparoscopic sleeve surgery has a better therapeutic effect, and we recommend that parents choose to use it. However, for huge hernias, sliding hernias, non-traffic testicular or spermatic cord syringomyelia, it is more appropriate to choose traditional surgery.