Background: No other laparoscopic procedure has been the source of controversy as much as the laparoscopic approach to inguinal hernias. The two common laparoscopic techniques include the transabdominal preperitoneal repair (TAPP) and the total extraperitoneal repair (TEP). We present our experience with a novel technique by combining the two ideas of TAPP and TEP to get benefit of both techniques. We compared the operative time and the need for mesh fixation of the new technique with that of the standard TAPP technique.