Background: The improvement of pediatric laparoscopic instruments and increased experience with laparoscopy technique, laparoscopic inguinal hernia repair in children become an important skill which the laparoscopist must be aware of. Laparoscopic repair of inguinal hernias in children is less invasive, more feasible and less painful. Additionally, this procedure is that, it could allow contra lateral hernia detection and repair in same setting. Aim: In our study we aimed to compare between the outcomes of the conventional opened repair and the laparoscopic repair of pediatric inguinal hernia. Materials and Methods: The current prospective study which included 30 patients with inguinal hernia who were divided in to two groups the first group included 10 patients and was managed by laparoscopic repair, while the second group included 20 patients and was managed by the conventional open repair. Results: The mean time of operation in laparoscopic repair is slightly shorter than that of opened repair but this was not statistically significant. Post-operative recovery was significantly faster in patients undergoing open repair than in laparoscopic repair (p = 0.003). Post-operative discharge was significantly faster in undergoing open repair than in laparoscopic repair (p = 0.025). Postoperative secondary hydrocele was common in laparoscopic repair that in open repair while scrotal edema was common in opened repair that laparoscopic repair (p = 0.049). Patient cosmetic Satisfaction was higher in group 1 with laparoscopic repair than in group 2 with opened repair (p = 0.012). Patient financial satisfaction was lower in group 1 with laparoscopic repair than in group 2 with opened repair (p = 0.046). Conclusion: Laparoscopic repair of inguinal hernias in children is less invasive, more feasible, less painful and it could allow contra lateral hernia detection and repair in same setting.