Laparoscopic Inguinal Hernia can be performed by two ways, either TEP or TAPP. Two revolutions in inguinal hernia repair surgery have occurred during the last two decades. The first was the introduction of tension-free hernia repair by Liechtenstein in 1989 and the second was the application of laparoscopic surgery by Ger to the treatment of inguinal hernia in the early 1990s. The assess the safety and effectiveness of laparoscopic totally extra-peritoneal (TEP) repair is already established and there are many studies to discuss the technical changes that surgeon faced on the basis of thier accumulative experience. Patients who underwent an elective inguinal hernia repair at the Department of Abdominal Surgery at the World Laparoscopy Hospital, Dr Mishra, between January 1999 and July 2005 were enrolled retro- spectively in this study. Patient demographic data, operative and postoperative course, and outpatient follow-up were studied.