The embrace of laparoscopic inguinal hernia repair in children has been dichotomous. A few institutions and investigators have series of many hundreds of cases, and other sites have very limited or no experience. In the published urologic data, scant mention has been made of pediatric laparoscopic inguinal hernia repair. Palmer et al. used laparoscopy to address the contralateral patent processus incidentally noted during laparoscopic orchiopexy. Although independently their data will not convince many to adopt this approach routinely for herniorrhaphy, I applaud their introduction to urology of both the approach and the pediatric surgical data, which, on the whole, argues that the laparoscopic approach is similar in efficacy and efficiency and is potentially (although admittedly minimally) less morbid than inguinal surgery. They advocate closing the patent processus vaginalis when it presents itself at laparoscopic orchiopexy. I concur. It is easily performed with minimal additional morbidity. Furthermore, as a pediatric urologist whose core intra-abdominal surgical cases are reconstructive procedures in which facile tissue handling and suturing skills are requisite to optimal outcomes, I advance considering laparoscopy as the general approach to pediatric hernias. Herniorrhaphy offers a high-volume caseload with which to exercise the full repertoire of skills needed for complex laparoscopy in a “bite-size” package. Because it represents an equivalent approach, those pediatric surgeons looking to pursue advanced laparoscopy should also consider this step.