The inguinal hernia in children is almost always a congenital unoccluded sphincter, characterized by the posterior wall of the hernia sac being in close proximity to the spermatic cord. Local examination of the groin reveals a smaller inguinal hernia located in the external ring and at the beginning of the scrotum, oval in shape, while the larger one may descend into the scrotum and resemble a heart shape in appearance, with a soft, elastic mass that can be returned into the abdominal cavity by gently squeezing the mass upward with the hand and a grunting sound can be heard. Although the sphincter canal can remain occluded after birth, children with hernias rarely have the possibility of self-healing; therefore, inguinal hernias should be operated upon diagnosis to prevent repeated incidences of incarcerated hernias, which can cause intestinal necrosis. Surgical treatment of inguinal hernia has become quite safe and generally requires only a high ligation of the hernia sac neck, with a very low recurrence rate after surgery.