Aim: The aim of this article is “A clinical study on left-sided indirect inguinal hernia containing sigmoid colon”. In this study, we have projected the incidence and management of sliding inguinal hernia containing a Sigmoid colon. Materials and Methods: A three years retrospective clinical study, was done at the “General Surgery department” at Vydehi Institute of Medical Science and Research Centre, White field Bengaluru-560 066. This Institute is a tertiary hospital attached to a medical college. Results: This analysis contained a total of 189 cases. Sliding sigmoid colon occurrence is very rare and only one case, which is less than one percent, was found in this study (0.52 percent). Conclusion: The sigmoid sliding hernia is a peroperative diagnosis among left-sided indirect inguinal hernia. The surgical management/repair is meticulous and needs gentle dissection after identification of the sigmoid colon. Care must be taken to identify the contents of the hernia to avoid inadvertent injury to the structures. The Lichtenstein repair could be considered to lower recurrence and reoperation rates. Surgeons should function according to these standards and it is of utmost significance to be accompanied by a wide variety of prosthetic materials. Key words: Sliding hernia; Amyand’s hernia; Littre’s hernia; Meckel’s diverticulum; Spermatic cord; Round ligament of uterus; Inguinal (Poupart) ligament; Ilioinguinal nerve; Genital branch of the genito-femoral nerve; Midpoint of the inguinal ligament; EOM External oblique muscle IOM Internal oblique muscle PT-Pubic Tubercle; PS Pubic Symphysis; Hesselbach’s triangle; ASIS=Anterior superior iliac spine.