Surgery for inguinal hernia is commonly performed in children. Traditional approach is open herniotomy. However, numerous minimal invasive methods are evolving with the same or low complication and recurrence rates. Percutaneous internal ring suturing (PIRS) under vision is a minimal invasive technique which is simple, effective, remarkably cosmetic, economical, easy to learn and reproduce with short operative time, and helpful in identifying occult contralateral hernia. This procedure was performed first time in our secondary care set-up with gratifying results for the patient, parents, and the operating team.