Introduction- Inguinal hernia repair is most commonly performed surgery over the world and one require having a sound knowledge of anatomy and physiology of groin region. Since the time Bassini described his technique, the search for an Ideal Inguinal Hernia repair is still on. Objectives- To compare the following parameters between the two commonly performed methods of inguinal hernia repair, namely the Laparoscopic [Total Extra-Peritoneal (TEP) repair and Trans Abdominal Pre-Peritoneal (TAPP) repair] and Open Lichtenstein Hernioplasty I in term of Type of Inguinal Hernia (Direct or Indirect), Operative time, Post-operative pain (VAS Score), Post-operative complications, Hospital stay,Recurrence. Methods- The present study is a single-centre, Prospective comparative two group study. It was conducted on patients admitted with the diagnosis of inguinal hernia at Department of General Surgery GCS Medical College, Hospital and Research Centre Ahmedabad July 2017 to January 2019. This study includes 60 patients who were subjected to open inguinal hernia repair and laparoscopic inguinal hernia repair depending upon their preference of choice of repair and type of anesthesia. SPSS was used for analysis. Results- Group A (open), 19 patients (63.33%) had direct hernia whereas 11 patients (36.67%) had indirect hernia. In Group B (laparoscopic), 16 patients (53.33%) had direct hernia whereas 14 patients (46.67%) had indirect hernia. In Group A (Open), 24(80%) patients presented with unilateral hernia of which 13(43.33%) were Direct and 11(36.67%) were Indirect and 6(20%) patients presented with bilateral hernia of which all 6(20%) were Direct. In Group B (Laparoscopic), 20(66.67%) patients presented with unilateral hernia of which 6(20%) were Direct and 14(46.67%) were Indirect and 10(33.33%) patients presented with bilateral hernia of which all 10(33.33%) were Direct. Majority of the patients had moderate pain on POD 1 with mean VAS score of 4.73±1.28. On day 3 they has mild to moderate pain with mean VAS score of 2.33±1.15. the average hospital stay for Open Group was 2.7±1.17 days and for Laparoscopic Group were 2.27±0.88 days. Conclusion- Our study supports the view that both Open Lichtenstein and TEP/TAPP repair of inguinal hernia are safe and efficacious and long term Randomized Control Trials with enhanced sample size and reduced confounding factors are required to establish the absolute superiority of one technique over the other.