Background: Inguinal hernia is the most common surgical disorder occurring in young as well as elder males worldwide. Management wise there are many surgeries available in both tissue-based hernia repair as well as commonly practised prolene mesh inguinal hernia repair. New technique has developed, desarda hernia repair, is the tissue-based hernia repair in which, an un-detached strip of external oblique aponeurosis is used to repair the posterior wall of inguinal canal. This study compares the outcome of both desarda repair and lictenstein mesh hernia repair. Methods: Hospital based interventional study included 100 patients diagnosed with inguinal hernia and were divided into two groups, D (50 patients) for desarda technique and L (50 patients) for lictenstein repair. Outcomes measured were post operative complications as seroma, hematoma, orchitis, early and late postoperative pain, chronic pain and last was the recurrence. Hospital stay was also taken into consideration and follow up was done on day 7, 1 month, 6 months and 1 year after surgery. Results: During follow up, 10 patients suffered from chronic pain in lictenstein group compared to 5 patients in desarda group which was not significant (p = O.262). 1 Recurrence was seen both groups (p = 1). Seroma was seen in 2 patients in desarda and nil in L group whereas hematoma was seen more in L group. Conclusion: Results were comparable in both the groups, desarda being a new technique can be used in young patients to avoid complications most probably seen in mesh hernia repair.