Background: Repair of groin hernias has evolved from primary tissue repairs, which have a tendency of recurrence. Open mesh used in inguinal hernia repair can be configured as a flat patch (Lichtenstein operation) or as a cone-shaped plug (Mesh with Plug operation). Aim: To compare between Lichtenstein patch hernioplasty and mesh plug hernioplasty to find out which of them is easier to apply and rate of post operative complications in both of them. Methods: sixty patients were randomly allocated to receive either a Lichtenstein patch or a Mesh with Plug. Data of postoperative day 1, 4 weeks and six months were followed up to include operating time, postoperative pain, analgesic medication, return to activity and work. Follow up period was six months. Results: Operating time (mean=61.53 vs. 75.17 minutes) was significantly shorter in Lichtenstein group (P= 0.001). During day 1, Patients who had undergone the Mesh with Plug operation experienced more pain rather than Lichtenstein group (P=0.001). Number of retrieved analgesic medication was significantly greater in Lichtenstein group (mean= 15±3.43 vs. 12.4±3). Hospital stay and Sick-leave period were similar in both groups. No recurrence rates after six months follow up. Conclusions: Compared with patients received Mesh Plug, patients who underwent Lichtenstein operation experienced less postoperative pain in 24 hour, but consumed little analgesic medication. The rate of return to work is similar in both groups, which indicates no superiority for both. There is no recurrence rate after six months follow up.