Pediatric inguinal hernias that recur are very uncommon. The recurrence rates range from 0.3 to 1.2 percent. Recurrence often shows up six months following the first repair. According to recent data, recurrence rates for open and laparoscopic repair are comparable. However, only a small percentage of experienced pediatric surgeons conduct laparoscopic repairs; most pediatric surgeons choose open surgery, not the least because of the assumed decreased recurrence risk. Most hernia recurrences after repair of an indirect hernia (97%) are indirect, although, in rare circumstances, the recurrence turns out to be a previously undetected direct or femoral hernia. An open or laparoscopic method might be used to fix a recurring inguinal hernia. The nature of the recurring hernia may be determined via laparoscopy, and an urgent repair can be made using either a laparoscopic or open approach. In the hands of an expert, innovative laparoscopic procedures may be successful.