Background: One of the most often performed operations and a pillar of a general surgery practice is inguinal hernia repair. Objective: The study aimed to report our experience in tension-free repair of inguinal hernia using Desarda technique. Patients and methods: 179 out of 216 patients with 1ry inguinal hernia repaired with Desarda and who completed at least five years of follow-up and underwent analysis were included. The current retrospective analysis was conducted between December 2013 and December 2023. Recurrence, chronic pain, abdominal wall stiffness was the main follow up corners. Results: The mean age of the included patients was 44.76 ± 7.88 years. There was a statistically significant decrease in the testicular edema, hematoma, seroma, and surgical site infection after 1-month follow-up when compared to the incidence by the 1^st week (P < 0.001). There was a statistically significant decrease in the incidence of loss of sensation, abdominal wall stiffness and FB sensation by time. The recurrence rate was 1.7% after 5 years follow. Conclusion: Desarda technique is an easy, effective and reliable method in treatment of inguinal hernia repair with favorable long-term outcome.