Background <p>Robotic-assisted inguinal hernia repair (RAIHR) has become an emerging technique in adult surgery, but its application in paediatric patients remains limited. This review aims to assess the use of RAIHR in paediatric populations, focussing on its effectiveness, surgical techniques, and surgeon experience. To the authors’ knowledge, this is the first review dedicated to RAIHR in paediatrics.</p> Methods <p>Databases including PubMed, Scopus, and Web of Science were searched for relevant studies from 2000 to 2024. Data were extracted with regard to study design, duration, type of inguinal hernia, number of patients, mean age and weight, male-to-female ratio, follow-up period, antibiotic prophylaxis, postoperative stay, operative and console time, intra- and postoperative complications, suture and mesh used, conversions to open surgery, and recurrence rates.</p> Results <p>Three studies met the inclusion criteria, comprising 22 patients. All studies reported the exclusive use of the transabdominal preperitoneal approach, with indirect hernias being the most common. Mean operative time was 96.95 min, and no intra- or postoperative complications were noted. One case of recurrence was observed during follow-up. High ligation of the hernia sac, the gold standard in paediatrics, was reported in one study only.</p> Conclusions <p>Robotic-assisted surgery offers potential advantages due to improved dexterity and visualisation particularly for patients with smaller body habitus. The papers reviewed show promise for the use of robotics in the repair of paediatric hernias, with no conversions or intra-operational complications reported. However, the small sample sizes and focus on older paediatric patients raises difficulty when generalising to younger age groups. Larger data sets are needed to determine safety and efficacy in the acute and long-term setting.</p>