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Background: Hydrocele is one of the common diseases occurring worldwide. Surgery is mainstay for treatment. Aspiration of hydrocele fluid followed by injection of sclerosant is an alternative treatment modality. This study is an attempt to evaluate efficacy of various modalities in management of hydrocele in view of indicating the better& preferable modality. Aim: 1) To study clinical profile of hydrocele 2) To study various modalities of management 3) To study post-operative complications with different modalities Materials And Methods: It is Prospective Observational study from March 1st 2021 to August 31st 2022 conducted in the department of general surgery, tertiary care centre – Kalaburagi Karnataka .90 patients of hydrocele with age above 18 years were studied. Out of 90, 80 had unilateral and 10 had bilateral hydrocele. They were investigated, divided into 2 groups i.e., Small sized Hydrocele treated with Lords plication & Sclerotherapy. Large sized Hydrocele with Jaboulays procedure & Subtotal excision of sac. Results: It was noted hydrocele was common in age group of 21–40 years, more unilateral & with predilection to right side. Most common postoperative complication was pain in small hydroceles & hematoma in large hydroceles. Lords plication & sclerotherapy had similar results on evaluation except Sclerotherapy had high recurrence rate in small hydroceles. In large hydroceles Jaboulays procedure was found to have less postoperative complication & reduced hospital stay compared to subtotal excision. Conclusion: Lord’s plication is preferable surgery for hydrocele of small size than other procedures. Sclerotherapy is good alternative for patients unwilling or not fit for surgery. Jaboulay’s procedure is preferred over subtotal excision of sac for large Hydrocele with lesser complications, duration of stay& cost effective.