Introduction: “Primary vaginal hydrocele is defined as abnormal accumulation of serous fluid in tunica vaginalis.” It is one of commonest disease occurring worldwide. The common complications observed during the surgery of hydrocele are bleeding, injury to the cord structures and epididymis, torsion of the testis due to faulty positioning during surgery. There are many numbers of types of operations performed for hydrocele, which needs comparision to select best of them. Methodology: A total of 60 patients were selected after applying the various inclusion and exclusion criteria. The patients were subjected to various modalities of management like Lord’s plication, Jaboulay’s procedure, Radical excision of sac and tapping with sclerotherapy depending on the presentation. Results: Eight of ten patients were cured of their hydrocele. Among the eight patients who were cured 4 patients had only one instillation. 1 patient developed a recurrent hydrocele 2 wks following primary treatment while 3 patients developed recurrent hydrocele 2, 3 & 6 mths after primary treatment. Conclusion: There was no incidence of hematoma after Lord’s placation.

Keywords: Hydrocele; Lord Plication; Complications.