There are many maneuvers used to correct strabismus, in which recession procedure represents the corner stone of these maneuvers. Ocular misalignment in strabismus is corrected by at least four different mechanisms: slackening a muscle (i.e. recession), tightening a muscle (i.e. resection or plication), reducing the length of the moment arm (i.e. Faden), or changing the vector of the muscle force by moving the muscle's insertion site (i.e. transposition). The aim of this study was to compare between modified hang-back and conventional procedures of horizontal recti muscles recession in case of esotropia. In this study, we assessed 112 patients with different degree of esotropia, who admitted to Tikrit Teaching Hospital for strabismus surgical correction, at the period from February 2012 to March 2014. In conventional recession procedure, the muscle re attached to the sclera at the desired distance while in hang-back recession suspends the muscle back, posterior to the scleral insertion, with a suture. The modification in this study represented by adding 0.68 mm to the suture length to overcome miscalculation, then many parameters were checked.