Surgical management of groin hernias continues to attract the interest of General surgeons as it is the most common surgery performed in surgical practice. Over 80 variants of techniques have been tried; the time tested ones being Ex Bassini’s heriorrhaphy using tissue repair and the other by using prosthetic mesh (Lichtenstein’s) are done by anterior approach through the inguinal canal. The posterior (preperitoneal) approach to the repair of groin hernias using synthetic mesh brought to light by Nyhus et al. have fascinated many surgeons. Though current trend is to use laparoscopic approach (which itself can be preperitoneal or intraperitoneal ) we have taken up this study by open method as it is much less expensive and can be done at peripheral hospitals. The current study is to evaluate its efficacy in terms of post operative pain, duration of hospital stay, return to preoperative physical activity and early recurrence. 

Keywords: Inguinal Hernia; Preperitoneal Repair; Opens Posterior Approach; Mesh Repair.