Abstract Background: Groin hernia repair is considered to be one of the most commonly performed operations by general surgeons but; there is no "gold standard" operation for treatment of inguinal hernias. The optimal surgical approach must be selected individually for the patient, considering age, hernia size, unilaterality or bilaterally, primary or recurrent, and type of anesthesia, occupation, and leisure activities. Aim of Study: In this study we will determine the early surgical outcomes and morbidity after laparoscopic Transab-dominal preperitoneal inguinal hernia repair with mesh fixation by suture technique and tacker technique. Patients and Methods: The type of study is a randomized prospective study. It has been done in Nasser Institute for Medical Research and Treatment Hospital on 30 patients who will be operated from September 2018 to December 2021 with minimal follow-up to 6 months. An informed consent was taken from all patients who accepted to join our study. Results: We found that both surgical approaches had almost the same Postoperative Hospital stay where the mean postoperative hospital stay was 1.5 days versus 1.6 days in Group A and Group B, respectively and all patients returned to normal activity with mean time (7±2) versus (8±2) days in Group A and Group B respectively. We found that no statisti-cally difference as regard the recurrence between the use of mesh fixation by using sutuers techniques versus fixation by absorpable tacks. Conclusion: After this prospective study, both the use of mesh fixation by using sutures techniques and fixation of mesh by absorbable tacks approaches are similarly effective in terms of operative time, the incidence of recurrence, complications and chronic pain coinciding with all the available literature.