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Background: Prolene hernia system was introduced in 1999, and was thought to be a revolutionary type of mesh in preventing recurrence. But studies regarding long term results and complications were sparse. Our study is one such type which sheds light into the complications of prolene hernia system and its significance in Indian scenario.Methods: 30 patients with inguinal hernia in Karnataka institute of medical sciences, Hubli, were included in the study. All of them were operated with prolene hernia system. Patients were assessed in the post-operative period and during follow-up for any complications. Appropriate statistical tests were applied.Results: 1 (3.3%) patient each had seroma and superficial surgical site infection in the post-operative period. 2 (6.7%) patients had chronic groin pain symptoms and none of them had recurrence till date.Conclusions: Based on the observations, we conclude that PHS is an effective method for open inguinal hernia repair with minimal complications. It has comparable results with lichenstein repair and other types of repairs available.