Background: Inguinal hernia repair is one of the surgical procedures that is most frequently carried out on pediatric patients due to the high risk of complications. Patients and methods: The study included every child with an inguinal hernia who visited a pediatric surgical unit, during the period (January – November)-2022 and was between the ages of less than 1 year and more than 12 years. A thorough history from the parents. Results: of these patients, 25 (41.6%) were 1-6 years old, followed by 14 (23.4%) 6-12 years old, and 8 (13.4%) were under 1 year old ,right-sided hernias (No.=33,55%) of a child more than left-sided hernias (No. 21,35%),So irritability/excessive crying was the most prevalent presenting symptom as (86%) in patients, followed by swelling (80%), both poor feeding and vomiting (63%) in patients, so constipation and abdominal distension as (37, 23) % respectively and rectal bleeding in (1.5%) patients, also forty-seven (78.4%) children presented as electives more than thirteen (21.6%) children presented as emergency cases,as well as type of complications as Scrotal edema (No.= 8,13.3%), Wound infection (No.= 4, 6.6%) , Hematoma (No.= 2, 3.3%), Recurrence of hernia (No.= 1, 1.6%),So, all types of complications in Emergency (P value < 0.001).Conclusion: Inguinal hernia is more prevalent in Patients with age(1-6) years old, followed 6-12 years old, Right-sided hernias in a child more than left-sided hernias, so the irritability/excessive crying was the most prevalent presenting symptom in patients, followed by swelling and both poor feeding and vomiting as well as children presented as elective cases more than children presented as emergency cases.so type of complications as Scrotal edema (No.= 8,13.3%), Wound infection (No.= 4, 6.6%) , Hematoma (No.= 2, 3.3%), Recurrence of hernia (No.= 1, 1.6%), So all types of complications in Emergency.

Keywords: Complications; Postoperative; inguinal hernia; Iraqi Pediatric Patients