Background: The inguinal method is utilized for treating hydrocele in the pediatric populace. While, investigations on scrotal orchiopexy have declared herniation or hydrocele repairing via the same scrotal cut as a portion of an orchiopexy operation, there are a few researches investigating the treatments of separated communication hydrocele via a scrotal incision. Objective: To compare between scrotal and inguinal surgery for repair of communicating hydrocele in kids with assessment of surgical period, intraoperative complications, hospitalization, and postoperative complication. Patients and methods: This work was an interventional research accomplished in Department of Surgery, Al-Azhar University Hospital, New Damietta. 40 cases of ages from 1 year to 18 years were scheduled for communicating hydrocele repair; they were randomized into 2 groups: Group-A (scrotal approach) that included 20-cases and group-B (inguinal approach), which included 20-cases. This study was performed on systematic random sampling from April 2020 until October 2020. Results: A highly significant change was found among studied groups regarding surgical period.In addition, a highly significant change was found between the two groups regarding postoperative hospitalization. There was significant change between both groups as regards overall satisfaction, while there was insignificant difference between groups as regards early post-operative complications. Conclusion: The scrotal method for treating the children communicating hydrocele can be another procedure in qualified centers. The key benefits of this method were cosmesis and reduced surgical period. Nevertheless, the commonest early complication was temporal scrotal edema. This procedure delivers a simple method to the anatomical structure included in scrotal and groin pathologic characteristics with no disruptions of the inguinal duct integrity.