Objectives: To determine the frequency of recurrence after hydrocelectomy.Study Design: Descriptive. Place & Duration: Study was conducted at surgical department ofPeoples University of Medical and Health Sciences Nawabshah from June 2012 to December2016. Patients & Methods: This study was conducted at surgical unit 1 of Peoples Universityof medical and health sciences Nawabshah from June 2012 to December 2016. 150 malepatients with primary hydrocele were included. Diagnosis of hydrocele was confirmed byclinical examination, Trans illumination test and scrotal ultrasound. After preliminary workup allpatient underwent spinal anesthesia. Transverse incision made, fluid is sucked out, most of thehydrocele sac is excised and edges are sutured under run or diathermized. Post operatively 6to 8 doses of antibiotics were given and patients were discharged after a short hospital stay. Onearly follow ups wound infection and hematoma were noted, managed and recorded. Up to 3years on long follow ups were made to detect recurrence of hydrocele. Data was analyzed bystatistical package of social sciences (SPSS)-24. Results: Study was extended for 54 monthsand included 150 adult male patients with primary hydrocele. Mean age was 45 years, SD±4 and a range of 14-79 years. Mean operating time was 25 minutes, SD±5 and arrange of15-50 minutes. Mean post hospital stay was 24 hours. Post-operative hematoma was noted in16(10.6%). There was no any recurrence of hydrocele was found up to three years follow up.Conclusion: Complete removal of sac of hydrocele eliminates almost any chance of recurrenceso that one can claim for “no sac no recurrence”.