Background: Inguinal hernia repair is one of the most common surgical procedures performed worldwide. The choice between laparoscopic and open techniques for inguinal hernia repair remains a subject of debate. This comparative study aims to evaluate and compare the outcomes of laparoscopic and open repair methods in patients with inguinal hernia. Materials and Methods: A total of 60 patients with inguinal hernia were enrolled in this prospective study, conducted inGIMSH in period fromDecember 2022 to November 2023. Patients were divided into two groups: the laparoscopic group (n=30) and the open repair group (n=30). Demographic data, operative time, postoperative pain scores, hospital stay, and complications were recorded. Statistical analysis was performed using independent t-tests and chi-square tests where appropriate. Results: The laparoscopic group demonstrated a significantly shorter operative time (mean ± SD: 40 ± 5 minutes) compared to the open repair group (mean ± SD: 55 ± 7 minutes) (p<0.05). Postoperative pain scores were lower in the laparoscopic group (mean ± SD: 2.5 ± 0.8) than in the open repair group (mean ± SD: 4.0 ± 1.2) at 24 hours post-surgery (p<0.05). Hospital stay was significantly shorter for laparoscopic patients (mean ± SD: 1.5 ± 0.5 days) compared to open repair patients (mean ± SD: 3.2 ± 0.7 days) (p<0.05). There were fewer postoperative complications in the laparoscopic group compared to the open repair group (p<0.05). Conclusion: This comparative study suggests that laparoscopic inguinal hernia repair offers several advantages over open repair, including shorter operative times, reduced postoperative pain, shorter hospital stays, and fewer postoperative complications. Therefore, laparoscopic repair may be considered the preferred approach for inguinal hernia repair in select patients.