Introduction: Hydrocele is one of the commonly encountered cases in Surgical OPD in Govt Kilpauk Medical college hospital. Aim of the Study: The study was conducted to compare between the advantages and disadvantages of Inguinal approach and Scrotal approach in hydrocele surgeries. Materials and Methods: A randomised controlled study was done in a tertiary care hospital between September 2018 and September 2019 in two groups. Group A underwent hydrocele surgery by INGUINAL approach and group B underwent hydrocele surgery by SCROTAL approach. Results: Both groups were compared and analysed. Statistically significant results were attained. The post-operative stay, post-operative pain, discharge from wound were less in Inguinal approach than Scrotal approach. Early return to work is observed with inguinal approach. Duration of surgery was more with Inguinal approach than Scrotal approach. Conclusion: Inguinal approach was found to be superior to scrotal approach in Hydrocele surgeries.