Background: The lifetime incidence of inguinal hernia is 3% in women and 27% in males. Although surgery is the advised course of action, opinions on the most effective technique are divided. Though there are worries about the possibility of chronic groin pain, open repair is the most common method. The recurrence rate of laparoscopic repair is yet unknown, but it is becoming more and more accepted because of the decreased risk of chronic discomfort. This overview compares the risk of chronic groin pain and recurrence between laparoscopic and open inguinal hernia repairs. Objective: The aim of this study is to assess the comparative efficiency between laparoscopic versus open surgery for inguinal hernia repair. Methods: The cross-sectional observational study was conducted in the Department of Surgery, Avicenna Hospital Limited, Sirajganj, Bangladesh, from July 2022 to June 2023. A total of 50 patients were enrolled and analyzed in this study. The questionnaire was pretested, corrected and finalized. Data were collected by face-to-face interview and analyzed by appropriate computer based programmed software Statistical Package for the Social Sciences (SPSS), version 24. Results: In this study, maximum study patients were in the 41 – 50 years age group. The mean age of the study patients was 41.2 ± 9.2 and 45.1 ± 13.2 years in Laparoscopic surgery and Open surgery group respectively. Most of the patients 22(88.0%) and 23 (92.0%) were male in Laparoscopic surgery group and Open surgery group. About 12 (48.0%) and 8 (32.0%) patients BMI were in between 25.0 – 29.9 kg/m2, 6 (24.0%) and 14 (56.0%) patients BMI in between 18.5 – 24.9 kg/m2 and 7(28.0%) and 3(12.0%) of the patients were overweight (>30 kg/m2) in both Laparoscopic surgery and Open surgery group. Mean ± SD of the study subjects was 25.13 ± 3.12 and 24.02 ± 2.72 years in Laparoscopic surgery and Open surgery group respectively. The period of complaint prior to surgery was 1 – 2 months of 14(56.0%) ..........