ABSTRACT:Inguinal hernia repair is now one of the most commonly performed general surgical procedures in practice. 'Tension-free repair' is the procedure of choice. [1] due to its low recurrence rate, these tension-free repair procedures can be roughly categorized into two groups: laparoscopic and open anterior approach. TEP is accepted as the most ideal method because it can avoid entry into the peritoneal cavity, which can cause intraperitoneal complication such as bowel injury or obstruction. [2] Among open tension-free methods are Lichtenstein's operation or Prolene hernia system. In this article, we examine the advantages and disadvantages of two extra peritoneal inguinal hernia repair methods, which are open lichenstein's hernioplasty and Laparoscopic Total Extra Peritoneal approaches of inguinal hernia repair. AIMS AND OBJECTIVES: The aim of this study was to compare the effectiveness and safety of laparoscopic and conventional open hernioplasty repair in the treatment of inguinal hernia and their results were studied in terms of operation time, patient comfort, hospital stay, return to normal activity and postoperative complications. METHODS: This study was done in a post-graduate teaching hospital where 50 cases were included. Of which 25 cases were operated by laparoscopic method and other 25 cases by conventional open hernioplasty. Outcome were compared in demographics and perioperative details with postoperative data. CONCLUSION: Since evidence in the literature does not point to either the laparoscopic or open approaches the clear superior procedure, surgeon preference and circumstantial influences will probably continue to dictate the approach employed in inguinal hernia repair. For primary inguinal hernias in general, the open hernioplasty is superior to the laparoscopic technique, both in terms of recurrence rates and in terms of safety whereas in bilateral inguinal hernia, recurrent inguinal hernia and sliding hernia, laparoscopic approach can be recommended.