Objective: To explore the recurrence rate and its risk factors after laparoscopic high ligation of hernia sac for pediatric inguinal hernia. Methods: A total of 246 patients with pediatric inguinal hernia from January 2013 to July 2016 were enrolled. The recurrence rate and its risk factors were analyzed. Results: Nine cases recurred and the rate was 3.66%. All of them were cured by underwent reoperation. Univariate analysis identified the following risk factors as age, obesity, size of internal inguinal ring, suturing type and surgical experience (P<0.05). But gender, respiratory disease, concealed hernia, location of hernial sac, course of disease and incarcerated hernia did not have a significant effect on postoperative recurrence (P>0.05). Logistic regression analysis revealed that age ≥6 years old, size of internal inguinal ring ≥3 cm, absorbable suture and lack of surgical experience were independent risk factors for major complications (P<0.05). Conclusion: Recurrence after laparoscopic high ligation of hernia sac of pediatric inguinal hernia has a certain incidence. Patients with age ≥6 years old, size of internal inguinal ring ≥3 cm, absorbable suture and lack experience of operators tend to recur.