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Background: One of the surgical procedures most commonly done on newborns and young children is the repair of an inguinal hernia. This condition can be treated with a laparoscopic procedure or a traditional open treatment. This study aimed to evaluate the outcome of laparoscopic repair of pediatric inguinal hernia. Methods: This prospective study was carried out on 24 patients with inguinal hernia who underwent laparoscopic hernia repair at the Pediatric Surgery department, Zagazig University Hospital. Patients were divided into groups A, who performed traditional laparoscopic inguinal herniotomy, and group A, who underwent laparoscopic-assisted percutaneous internal ring ligation. Intra-and postoperative complications, postoperative stay, cosmesis, and the size and vascularity of the testis were recorded and compared for differences in the outcome. Results: The duration of operation was significantly shorter in the Group A procedure compared to the Group B procedure. The duration of unilateral hernia operation is significantly shorter compared to bilateral hernia in both procedures. There was a significantly lower VAS pain score in group A compared to group B. The duration of hospital stay was shorter in group A than in group B. There was no difference regarding the occurrence of complications in both procedures, p>0.05. There was a significant difference in cosmetic outcomes in Group A compared to Group B, which was in favor of Group A. Conclusion: Compared to conventional laparoscopic inguinal herniotomy, laparoscopic-aided percutaneous internal ring ligation is thought to be a new, minimally invasive, safe, simple, and quick procedure. [ABSTRACT FROM AUTHOR]