Background: Transabdominal preperitoneal (TAPP) and totally extraperitoneal (TEP) mesh repair are two common procedures which are nowadays commonly performed during laparoscopic approaches for inguinal hernias. This randomized prospective study was aimed to compare these two, TAPP and TEP laparoscopic approaches for inguinal hernia repair in terms of various outcomes. Materials and Methods: Patients were randomly picked and 30 (50%) were operated by laparoscopic TAPP hernioplasty and the 30 (50%) by laparoscopic TEP hernioplasty. Results: Both TEP and TAPP mesh repair techniques were comparable in terms of operative time, intraoperative complications, conversion to open, post-operative pain, time to resume normal activity, and recurrence. Duration of hospital stay was significantly more in TAPP group than TEP group. Conclusion: Laparoscopic repair of inguinal hernias is associated comparable results in both techniques TAPP and TEPP and choice between TAPP and TEPP is a personal choice of the concerned surgeon.