Objective:To analyze the influencing factors of anesthesia induction compliance in pediatric laparoscopic hernia sur-gery and its relationship with sleep quality.Methods:Ninety pediatric patients who underwent laparoscopic hernia surgery at Zhangzhou Hospital in Fujian Province from May 2023 to December 2023 were selected as the study subjects.According to the preoperative anesthesia induction cooperation scale(ICC),the patients were divided into a low compliance group(ICC score 4-10 points,n=32)and a high compliance group(ICC score 0-4 points,n=58).Using multiple logistic regression analysis to explore the influencing factors of anesthesia induction compliance in pediatric patients.Results:The modified Yale Preoperative Anxiety Scale(m-YPAS)score,presence of sleep agitation,Pittsburgh Sleep Quality Index(PSQI)score,sleep time,and number of awak-enings were compared between the two groups of patients,and the differences were statistically significant(P<0.05).The results of multivariate logistic regression analysis showed that m-YPAS score(OR=1.728),sleep agitation(OR=1.642),PSQI score(OR=1.701),sleep time(OR=1.664),and number of awakenings(OR=1.579)were the influencing factors of preoperative anesthesia compliance in children with laparoscopic hernia(P<0.05).Conclusion:Compliance with anesthesia induction during laparoscopic hernia surgery is influenced by the preoperative anxiety level,preoperative sleep restlessness,and sleep quality of the patient.The better the sleep quality,the higher the patient's compliance with anesthesia induction.