Inguinal hernia repair is one of the most common pediatric operations performed. All pediatric inguinal hernias require operative treatment to prevent the development of complications, such as incarceration or strangulation. An inguinal hernia in a child usually refers to an indirect inguinal hernia. Laparoscopic inguinal hernia repair (LIHR) has an established role in the management of this condition in children in trained hands. Trends are changing in the management of infants and children with indirect inguinal hernias. Consensus about the optimal management is lacking. Hence, recommendations for clinical practice are needed. This article aimed to review the possible management of pediatric inguinal hernia.