Inguinal hernia repair is an ever-evolving surgical solution to an age old problem. Many studies have compared the Prolene Hernia System (PHS) repair with the gold standard Lichtenstein Mesh Repair (LMR). Despite theoretical advantages, results have been inconclusive about the superiority of either method. Hence, a prospective study was planned to compare the early & late outcomes in patients undergoing these surgical repairs. Patients were enrolled and followed up for a period of 1 year post-operatively. All the included patients were randomized into two groups, Group A underwent Lichtenstein tension free mesh hernioplasty and Group B underwent Prolene Hernia System mesh repair. Patients were inquired about post-operative pain and if present the pain intensity was assessed on visual analogue scale. If pain was present, analgesic requirement for pain relief was recorded. During the review, complications like surgical site infection, seroma / hematoma formation, chronic pain, implant infection etc. were noted. The data collected was analyzed statistically. PHS is an alternative approach in the management of inguinal hernias, but the Lichtenstein mesh repair still remains the gold standard. Both methods guarantee effective repair resulting in a relatively low rate of recurrence and complications and are comparable in terms of ease of surgery and time taken for surgery. The final choice of treatment technique depends on intra-operative evaluation and ability of the surgeon to perform a given method.