Introduction: Indirect inguinal hernias in children are causing by the opening of the vaginal process and the entry of viscera into it. To compare the rate of complications and recurrence after open and laparoscopic hernia surgery. Methods: In this case-control study, the patients who underwent surgery by laparoscopic and open methods for 2018-2020 years. The data were extracted from a checklist based on the variables sex, age, infection rate, side effect, hydrocele rate, scar length, testicular swelling rate, and rate and recurrence. Results: A total of 261 patients were examined. The results showed that there was a statistically significant difference between the time of surgery in both surgical methods (Z = -9.903, p < 0.001). There is a significant statistical relationship between recurrence and surgical procedure (p = 0.021). None of the patients in the study had a positive infection, positive hydrocele, and positive testicular swelling after surgery. Conclusion: Both methods are safe that can be selected according to the patient's condition. It is recommended that further clinical studies be performed to evaluate and compare these two surgical procedures.