Objective To analyze the effects of two anesthesia methods on hemodynamics and quality of recovery after the anesthesia in children undergoing laparoscopic hernia surgery.Methods The 140 children with inguinal hernia who underwent laparoscopic hernia surgery in Wuhu First People's Hospital from May 2016 to May 2021 were selected and randomly divided into GS group (general anesthesia combined with caudal block) and GT group (general anesthesia combined with transversus abdominis plane block), with 70 cases in each group. The quality of recovery, hemodynamics, Ramsay Sedation Scale score, Pediatric Anesthesia Emergence Delirium (PAED) score, and adverse reactions were compared between the two groups.Results The extubation time, the time to eye opening, and the time to recovery of consciousness in the GS group were shorter than those in the GT group (P <0.05). The systolic blood pressure (SBP), diastolic blood pressure (DBP) and heart rate (HR) of GS group were compared with those of GT group at T₀ (before the induction of anesthesia), T₁ (immediately after the induction of anesthesia), T₂ (30 min after the induction of anesthesia), T₃ (the end of the operation), and T₄ (12 h after the operation), which exhibited that there were differences in SBP, DBP and HR at different time points (P < 0.05) and between GS group and GT group (P < 0.05), and that the change trend of SBP, DBP, and HR were different between the two groups (P < 0.05). The Ramsay Sedation Scale scores at 1 h, 6 h, 12 h and 24 h after operation were compared was different between GS group and GT group, which showed that there were differences in Ramsay Sedation Scale scores at different time points (P < 0.05) and between GS group and GT group (P < 0.05), and that the change trends of the Ramsay Sedation Scale scores between the two groups (P < 0.05). In addition, the PAED scores of GS group and GT group at 10 min, 30 min and 3 h after operation were also compared, which suggested that there were differences in PAED scores at different time points (P < 0.05) and between GS group and GT group (P < 0.05), and that the change trend of the PAED scores is different between the two groups (P < 0.05). However, there was no significant difference in the incidence of adverse reactions between the two groups (P > 0.05).Conclusions General anesthesia combined with caudal block or transversus abdominis plane block is safe in laparoscopic hernia surgery for children, but general anesthesia combined with caudal block is more conducive to stabilizing hemodynamics, promoting early recovery and reducing the incidence of emergence delirium.