Background: The present study was conducted for evaluating and comparing the efficacy of spinal anesthesia and general anesthesia in inguinal hernia repair. Materials &Methods: A total of 50 patients scheduled to undergo inguinal hernia repair were enrolled. Complete demographic and clinical details of all the patients was obtained. All the patients were broadly divided into two study groups as follows: Group A: Patients undergoing inguinal hernia repair under spinal anaesthesia, and Group B: Patients undergoing inguinal hernia repair under general anaesthesia. Postoperative pain was assessed by VAS (Visual analogue scale) on a scale of 0 to 10 with 0 indicating no pain and 10 indicating maximum unbearable pain. All the results were recorded in Microsoft excel sheet and were subjected to statistical analysis using SPSS software. Results: Non-significant results were obtained while comparing the mean VAS at discharge among patients of the two study groups. Incidence of postoperative nausea and vomiting was significantly higher among patients of group 2 in comparison of patients of group 1.Incidence of postoperative headache was significantly higher among patients of group 2 in comparison of patients of group 1. Conclusion: Spinal anaesthesia could be an appropriate option for pain relief in inguinal repair, but it can’t be confirmed that spinal anaesthesia is better than general anaesthesia as spinal anaesthesia is accompanied by higher incidence of postoperative nausea, vomiting and headache.