TEP repair is preferred for laparoscopic hernia repair because it preserves the peritoneal integrity. However, TEP repair has been associated with a steep learning curve. It's a technically demanding procedure because of the unfamiliar anatomy and requires lot of training and laparoscopic experience. The efficacy of TEP repair as compared to tension free OHR has been studied. It has been found that TEP repair has comparable or even better results than OHR7,14 A gradual shift towards TEP has been observed worldwide because of is advantages such as reduced risk of bowel injury, bowel adhesions and incisional hernia formation.