Gibbons AT, Hanke RE, Berazaluce AMC, et al. - Pediatric surgeons commonly perform inguinal hernia repairs and a popular technique for the same is laparoscopic high ligation. Researchers here examined its recurrence rate in adolescents. It was hypothesized that in adolescents, recurrence after laparoscopic high ligation would be similar to that noted after open repair (1.8-6.3%). Adolescent patients (12-18 years old at the time of surgery) who had undergone laparoscopic high ligation across eleven hospitals were evaluated. Enrollment of a total of 144 patients was performed. A recurrence rate of 44.4% was observed with one hospital (n = 9), compared with 3.0% (4/135) for the other hospitals. By reckoning for 50.0% of recurrences, it depicted a statistical outlier and was excluded, leaving 135 cases for analysis. Outcomes suggest that when performed by experienced surgeons, laparoscopic high ligation of adolescent inguinal hernias has a recurrence rate similar to open repair.