Background : Numerous techniques are used for inguinal hernia  repair.  These  techniques can be divided into two main categories depending on whether or not a mesh is used.

Aims: The purpose of this study is to assess the clinical long–term result of these hernia repair techniques including meshplasty and modified Bassini’s repair (anatomical repair).

Material and Method : A study of 1500 cases was conducted, out of which 90.26% cases were operated  using prolene mesh fixed with interrupted prolene 1–0 suture and 16.4% cases operated with modified Bassini’s repair by using interrupted prolene 1–0 with conjoint tendon and upturned part of inguinal ligament.

Result: The mean operative time was 30 minutes in both groups . Post operative complication, mainly hematoma and seroma occurs in 14.3% in meshplasty and 13% in modified Bassini’s repair . In both groups recurrence rate is very less. However modified Bassini’s has advantage over meshplasty when cost of the mesh and suture material used were compared , other factors being similar .

Conclusion : Meshplasty is definitely  more popular procedure being in used but in India,  where cost factor still plays a part  modified Bassini’s repair is equally effective.