Background:Surgery is the mainstay of treatment for ventral hernias including primary repair, open repair with mesh, and laparoscopic repair with mesh.The aim of this study is to compare the outcome of laparoscopic repair and conventional open repair in the treatment of ventral hernia.

Methods: The study was a prospective, comparative, randomised study and Subjects were selected from all patients coming to the Opd of our department of surgery from Oct 2016 to Jan 2018 with total 40 sample size. Sampling Techniques by the help of computer generated random numbers by the process of randomization.

Results: We were compare operative time, post–operative pain, duration of  hospitalisation, time to return to normal activity, cosmesis and complications(infection,seroma,hematoma) and  derived P–values  between the open and laparosopic repair and found better in patients undergoing laparoscopic repair.

Conclusions:We conclude that laparoscopic surgery is minimally invasive technique for treatment of ventral hernia as compared to open repair. It is associated with much less pain in the post operative period. It also provides a more satisfactory alternative to open surgery because of better cosmesis, reduced hospitalisation and earlier return of patient to daily activities, with no significant differences in short term follow up.