Background: According to the greatest reviews of inguinal hernia repairs, there is no discernible difference between laparoscopic and open mesh hernia repair techniques in terms of recurrence.Aim of the work: This study compares open and laparoscopic hernia repair procedures performed in hospitals.Patients and Methods: In this retrospective cohort study, the open and laparoscopic approaches to inguinal hernia repair were compared and evaluated for their effects on post-operative pain, hospital stay, operating room time, seroma, urinary retention, paresthesia, numbness, wound infection, and recurrence. From June 2020 to June 2022, 30 patients underwent hernioplasty surgery for a unilateral primary inguinal hernia. A laparoscopic hernioplasty TAPP was performed on Group A, while an open hernioplasty was performed on Group B.Results: There was a statistically significant difference between the two groups regarding the surgical time p-value = 0.0001 and hospital stay p-value = 0.0001. While 20% of group B reported paresthesia and numbness, group A had no complications in terms of paresthesia and numbness P=0.22. There was no statistically significant difference between the two groups in terms of seroma and infection results P-Values =0.329 and 1, respectively. 13.3% of group A patients experienced recurrence of their hernias compared to group B's 6.7% p-value =1.Conclusion: The laparoscopic technique of tension-free repair is preferable to the open technique in terms of immediate postoperative problems as well as delayed pain and paresthesia, as well as in terms of safety.