The aim of this study is to compare the outcomes of open versus laparoscopic approaches for inguinal hernia surgery and provide evidence-based guidance to the selection of the most appropriate operative technique.

Inclusion Criteria:

Male patient > 18 years of age

• Primary groin hernias requiring surgical intervention that are eligible for both open and laparoscopic repair.

Exclusion Criteria:

• Emergency procedures .

  • ASA score > 2.
  • Irreducible inguinoscrotal hernia .
  • Local or systemic infection .
  • Other abdominal hernias being operated at the same time or planned operated during Follow up.

Previous surgery which has impaired the sensation in the groin area .

• BMI > 40 kg/m2.
• Known disease which Impairs central or peripheral nerve function .
• Concurrent malignant Disease .
• Chronic pain which requires daily medication . • Mental disorder which requires daily medication .