AbstractObjective: To compare outcome in terms of recurrence and complications in children operated by classical method of herniotmy with sac ligation versus newer method of non ligation of sac. Material and method: 100 children birth to 14 years of age with inguinal hernia were included in study conducted for 1 year. Exclusion criteria were children with high chances of recurrence like comlicated hernia, incarcenated hernia. Total of 82 patients gave consent to participate in study. The total children were divided into 2 groups randomly and operated by classical and newer method of herniotomy. The children were foloowed up for a time span of 1 year for any complications. Results: There was only 3 case of recurrent hernia in the control group, and none in the study group. There was no statistically significant difference of complications in study and control group. Conclusions: This study showed that hernial sac ligation after its transection is not necessary in pediatric herniotomy. Omitting ligation did not result in any significant complications in children.