Laparoscopic inguinal human repair has undergone tremendous change since its introduction in 1990 by Ger et al3. LIHR was started using the transabdominal preperitoneal (TAPP) approach. TAPP repair involves formation of a peritoneal flap and placement of a mesh in the preperitoneal space. The mesh is then held in place using a tacker. Initially, TAPP became the commonly performed laparoscopic procedure and a number of studies demonstrated the efficacy of TAPP and its comparable results with tension free OHR4-7. Arvidasson D et al8 compared 5 years recurrence rates of laparoscopic inguinal hernia repair Vs. Shouldice repair of primary inguinal hernia which is considered the gold standard for open non-mesh repair of hernia. The cumulative recurrence rate after 5 years was 6.6% in the TAPP group and 6.7% in the Shouldice group. Thus, the TAPP operation represents an excellent alternative to primary inguinal repair.