Aim: To assess the anatomical and functional outcome of transcanalicular LASER DCR compared to external DCR. Methods: A quasi study had been carried out in two tertiary eye hospitals of Bangladesh from January 2016 to December 2020. Group A included all patients selected for external DCR, and group B had been selected for transcanalicular laser DCR. Variable included age, gender, anatomical outcome, functional outcome, and surgery-related complications. Statistical analysis had been done by Quick Calcs Graph Pad software. Results: The total evaluated patients were 119 patients in group A and 46 patients in group B. The anatomical success rate was 93.3% in group A and 84.8% in group B. The functional success rate was 86.5% in group A and noted 84.8% in group B. Minimal skin scar was observed after six weeks of surgery in 98 (82.3%) cases of group A. Conclusion: The anatomical success rate is higher in external DCR, but the functional outcomes are almost the same in both groups.