Inguinal hernia is the most common disease in pediatric surgery, and transinguinal area herniorrhaphy with high ligation (hereafter referred to as conventional surgery) is recognized as the basic treatment for inguinal hernia. Conventional inguinal mini-incision without abdominal access and short operation time, however, there is about 10% incidence of scrotal hematoma and about 0.53% to 1.6% of male children are injured intraoperatively by vas deferens, and these complications are related to the trauma of the surgical pathway. Laparoscopic techniques for the treatment of inguinal hernia, which do not require dissection of the inguinal canal and do not dissect the spermatic cord, can effectively avoid the trauma of the traditional surgical route and the complications mentioned above, and have been more widely used in clinical practice and have been increasingly adopted by clinical pediatric surgeons because of the intraoperative detection of the contralateral occult hernia and the aesthetic incision, but it should also be noted that the surgery needs to be performed via abdominal manipulation. Both surgical methods can solve the child’s problem, but each has its own advantages and disadvantages. Since conventional surgery can only solve the problem on one side, there is a potential risk of a second surgery (about 10%), and if parents have great concerns about another surgery, they can choose to perform a minimally invasive laparoscopic surgery.