Background: One of the surgical procedures most commonly done on newborns and young children is a repair of an inguinal hernia. This condition can be treated with a laparoscopic procedure or a traditional open treatment.

Objective: This study aimed to evaluate the outcome of laparoscopic repair of pediatric inguinal hernia. Patients and methods: This prospective study was carried out on 24 patients with inguinal hernia who underwent laparoscopic hernia repair at Pediatric Surgery department, Zagazig University Hospital. Patients divided into: group A performed traditional laparoscopic inguinal herniotomy, and group A who undergo laparoscopic-assisted percutaneous internal ring ligation. Intra-and postoperative complications, postoperative stay, cosmesis, the size and vascularity of testis were recorded and compared for differences in the outcome. Results: Duration of operation was significantly shorter in group A procedure compared to Group B procedure. Duration of unilateral hernia operation is significantly shorter compared to bilateral hernia in both procedures. There was significantly lower VAS pain score in group A compared to group B. Duration of hospital stay was shorter in group A compared to group B. There was no difference regarding occurrence of complications in both procedure, p>0.05. There was a significant difference in cosmotic outcome in group A, compared to group B, in favor group A. Conclusion: When compared to the conventional laparoscopic inguinal herniotomy, the laparoscopic aided percutaneous internal ring ligation is thought to be a new, minimally invasive, safe, simple, and quick procedure.