Inguinal hernia is a common disease, with increasing risk of surgical repair throughout life.The main interest of surgeons has focused on the complications of mesh placement, with postoperative pain being the most significant one of them since its presence can considerably affect the life quality of the patient. Aim: The aim of the study was to compare between mesh fixation with minimum sutures (three stitch fixations) and( Lichtenstein inguinal repair) during inguinal hernioplasty as regards to chronic post-operative pain and other post-operative complications. Patients and Methods: This was a prospective randomized study.40 patients were included in our studydivided into 2 groups, Group I: Included (20 patients), were operated with traditional method (Lichtenstein inguinal hernia repair), (control group). Group: II: Included (20 patients), were operated with the new technique (three stitch) mesh fixation with (2-0) prolene sutures as in Lichtenstein method but only with three stitches, (test group) between 18 and 80 years, with a unilateral primary inguinal hernia for elective surgery. All patients were subjected to hernioplasty operation; all patients were operated at Department of General surgery, Menoufia University hospital. Results: No statistical significant difference was present between the two groups regarding the postoperative complications. There was significant decrease in pain intensity in group II (three stitch fixations) compared with group I (Lichtenstein inguinal repair) after operation. Conclusion: The incidence of long-term complications of three stitch hernioplasty are comparable to that of the other standard, tension free open hernia repair. Moreover, the three stitch hernioplasty method is a simple method, easy for the beginners to adopt, has less foreign body reaction, less time consuming, causes less tissue trauma, and lesser chance for vascular injury. Further comparative studies with larger sample sizes and longer follow-up period is needed to find out the best management methodology.