This video article demonstrates a bilateral open inguinal herniotomy in a 12-year-old boy with congenital indirect inguinal hernias. Key technical maneuvers are highlighted, including identification and isolation of the spermatic cord, careful dissection of the hernia sac from the vas deferens and spermatic vessels, and high ligation at the internal ring to prevent recurrence. The surgical technique avoids electrocautery to minimize risk to delicate structures and follows a layered closure with absorbable sutures. The case underscores anatomical landmarks, age-specific considerations, procedural precision in pediatric hernia surgery, as well as the ongoing debate on laparoscopic versus open repair in children.