Syringomyelia, also known as scrotal effusion, and inguinal hernia, or folklore known as small bowel gas. Both are common disorders, so which is the best surgical option? Parents often struggle with this issue because, after all, for boys, they are afraid of damaging the vas deferens and spermatic vessels, which may affect the development of the testicles and even the reproductive function. For girls, they are afraid of damaging the adnexa, which will also affect the reproductive function. In addition, there is the issue of the aesthetics of the surgical wound. At present, the two commonly used surgical methods are traditional open surgery and minimally invasive (laparoscopic), which are now compared in the following table: Summary: The current surgical methods are basically traditional (new method) and minimally invasive (laparoscopic), while the traditional (old method) has been abandoned because of the traumatic anesthesia method. However, because of the high anesthesia requirements of the first two, many hospitals are still using traditional (old method) surgery due to technical problems, and only a few specialized hospitals can perform traditional (new method) and minimally invasive (laparoscopic) surgery. As for the choice between traditional (new method) and minimally invasive (laparoscopic), I personally believe that minimally invasive (laparoscopic) is the best method, followed by traditional (new method). As for the recurrence rate, the traditional one is about 10 times more than the minimally invasive one. The first picture below is of a child who had two surgeries, and the obvious difference between the two surgical methods can be easily seen in his case. The first time, he underwent a traditional surgery in a major hospital, with oblique incisions in both groins, and the scar was obvious after the surgery. The second time, because of recurrence, he underwent a minimally invasive laparoscopic surgery in our hospital and the postoperative scar was basically invisible. The second picture shows the latest multi-channel laparoscopic surgery around the umbilicus, in which the child had bilateral inguinal hernias (the right side before surgery, but the left side was also found to have a hidden hernia during the intraoperative examination), and it can be seen that the surgical wound was basically scarless.