Introduction: Trans Abdominal Pre Peritoneal repair versus Open hernioplasty remains a debated question especially in resource limited setups. Our data will help in evaluating the outcome of these procedures and formulating management decisions.

Methods: OT records of a three year span of patients who were followed up for at least 1 year were analysed.  Patients who underwent TAPP were compared to a control group and various outcome parameters were evaluated.

Results: 30 patients were listed (males = 20, females = 10). Significant difference was found in duration of surgery, rates of surgical site infection, seroma formation, pain at discharge and duration of hospital stay. No significant difference was found in terms of chronic pain, recurrence and mesh infection.

Conclusion: TAPP offers excellent benefits against open hernioplasty even with conventional instruments. Long term results need to be evaluated with studies with longer follow ups.