Background: Open mesh repairs are commonly used ,but the incidence of mesh infection is still recorded, the goal of this work is to evaluate using cremasteric muscles and fascia instead of the mesh (as foreign body) to strengthen the inguinal canal and to avoid the intractable infected mesh which may be incurred. Patients and method: In this randomized prospective study, n=80 patients with unilateral inguinal hernia, 40 patients were repaired with this technique, (group B), and the other (group A), 40 patients were repaired with Lichtenstein technique. Operative time, hospital stay, overall complication rates, and cost-effectiveness were investigated. A time period of 1-2 years was determined for patient follow up. Results: All the patients were followed up ranges (12 to 24 months). There was one case of recurrence in group B versus one case of recurrence in group A. Time of wound healing was significantly longer in group A versus group B. The deep wound infection and groin pain was more and significantly longer in group A, and work off time ranged from 14-23 days in group B versus 12-33 in group A. Conclusion: The results of this new repair technique using cremasteric apparatus as an auto meshing  appear promising  especially  after  more studies  with more  number of patients.