Totally Extraperitoneal (TEP) Mesh Repair for groin hernias is now rapidly gaining popularity as it is a minimal access surgical technique which is reported to have comparatively better results to Lichtenstein open mesh repair if done by an experienced surgeon. The technique has a steep learning curve which can be overcome by strictly following surgical protocols. This is a study to compare both these techniques and find out which one of them is better in terms of surgical outcome and patient acceptability. We report our local experience and results of TEP procedures at our hospital.