Ramstedt pyloromyotomy performed through a right upper quadrant incision is gold standard in treatment of infantile (IHPS) laparoscopic and circum-umbilical approaches are alternatives to prospective study 90 patients with IHPS was done at Cairo University specialized children hospital. Patients were equally randomized. It is also the easiest-to-master approach while LPM and UMB approaches offered the potential of a better cosmetic outcome.