There have been 4 non randomized comparative studies that have compared the 2 techniques i.e. TAPP vs TEP (4,10,-12). The results of these comparative trials have shown that the 2 techniques are comparable with regard to the complications such as vascular and visceral injury. However, the port site recurrence was shown to be higher in the TAPP compared with TEP technique. The operating time and the cost of the procedure were not compared in any of the trials.