Herniotomy is a surgical procedure performed to repair a hernia by removing the hernia sac and closing the defect without using a mesh. It is commonly performed in children and young adults for inguinal hernias. The surgery is done under general anesthesia through a small incision over the hernia site. The hernia sac is carefully dissected, excised, and the abdominal wall is reinforced. Recovery is quick, with most patients returning to normal activities within a week. Possible complications include infection, recurrence, or temporary swelling at the surgical site. Post-operative care involves avoiding heavy lifting and maintaining proper hygiene. Herniotomy is a simple, safe, and effective procedure with a high success rate. It provides permanent relief from hernias in suitable patients. The procedure is widely used due to its minimal risks and excellent outcomes.