Background: Inhalational anesthesia uses a mask and breathing circuit to deliver anesthetic gases for induction and repair, which may delay recovery and cause additional side effects. Methodology: Comparative observational research was carried out to compare inhalational and intravenous anesthesia in pediatric surgery. The study was conducted in Mohi-ud-Din Teaching Hospital, Mirpur AJK. Peads aged from 1 to 12 years old experiencing surgery were included in the study. Parental consent was obtained. The study excluded emergency surgery situations and those with major comorbidities like congenital heart diseases. The data was analyzed using IBM SPSS statistics 25. The duration of the study was from July 2023 to June 2024. Results: Airway difficulties were more frequent in the inhalational group 20% compared to the intravenous group 4%. Hemodynamic instability affected 14% compared to 4% (p-value=0.02), and hypoxia happened in 10% compared to 2% with a p-value=0.015, indicating intravenous anesthesia was preferred. The inhalational group experienced a longer emergence time (15.0±3.0 compared to 8.2±2.3 minutes), higher postoperative pain levels (4.3±1.7 versus 2.7±1.2), and more nausea or vomiting (22% versus6%) than the intravenous group. Satisfaction of parents was significantly higher in the intravenous group (96 percent) compared to inhalational (68 percent) with a p-value 0.004. Conclusion: Intravenous anesthesia excels in inhalational anesthesia when it comes to safety, recovery time, and post-operative comfort. It was associated with fewer problems, shorter emergence times, and less post-operative pain and nausea. Parents preferred intravenous anesthesia because it provided higher satisfaction and improved recovery outcomes.