Background: Inguinal hernia repair is a pillar of general surgery procedures. Objective: The study aimed to compare Desarda repair for primary inguinal hernia with the Lichtenstein repair Methodology: 158 out of 196 patients with 1^ry inguinal hernia were allocated to have repair with the Desarda technique or Lichtenstein one and completed a 5-year follow-up and underwent analysis for postoperative complications, recurrence, chronic pain, and abdominal wall stiffness. Results: The mean age was 39.8±10.1in the Lichtenstein group while it was 41.3±9.7 in the other group. No reported significant difference between the 2 study arms as regards inguinal hematoma and ecchymosis, while seroma, testicular edema, and surgical site infection (SSI) were statistically higher in patients who underwent Desarda repair. For long-term follow-up, no significant difference between both study limbs was found as regards recurrence, although loss or change in sensation, abdominal wall stiffness, and Foreign Body (FB) sensation were more evident in the L Group . Conclusion: In terms of recurrence, hematoma, and interval to resume regular daily activities or jobs, the outcomes of the Desarda and Lichtenstein procedures were shown to be similar. Furthermore, Desarda outperformed Lichtenstein in lowering problems such seroma development and SSI that were linked to the presence of the mesh.