Background: Hernia repair is one of the most frequent general surgeons operations. The objective of the research is to compare the outcomes of the laparoscopic TEP hernia complete repair with mesh with the results of the open preperitoneal repair with mesh. Methods: There were 60 patients split into two groups, 30 for each. Group O; was subject to preperitoneal mesh repair open, Group L; was subject to mesh laparoscopic TEP repair. In the outpatient clinic at Benha University Hospitals patient follow-up was conducted 7 days after discharge and at 1, 3, 6 and 12 months following surgery until December 2020. The operating method, surgery, post-operational problems, early post-surgical discomfort within one week, hospital stay, physical activity restrictions and incidence of recurrence and chronic pain were also compared. Results: TEP repair was more challenging technically, as indicated by higher operating time, conversion and intraoperative problems. It requires a lengthy learning curve and a committed technical excellence team. However, it is preferable since it is linked with less initial postoperative discomfort, fewer problems related to wounds, shorter hospital stay and quick return to regular activities. Good aesthetic results and overall patient satisfaction are also monitored. Conclusion: Both methods are deemed safe and effective at comparable recurrence and chronic pain rates, but more study is needed.