Objectives: The prospective study was conducted to find the intra-operative and post-operative outcomes of Lichtenstein over TEP repair in terms of duration of operation, Per-operative complications, conversion to open, Visual Analogue Scale (VAS), Wound complications, Duration of hospital stay and recurrence. Material and Methods: 78 patients of inguinal hernia enrolled between November 2017 to November 2018 aged 18 years and above were included. It was non-randomised study and 50 patients were included in Lichtenstein while 28 patients in TEP group. Results: Duration of surgery [p__ampersandsignlt;0.0001], intensity of pain was significantly higher in Open (VAS) as compared to TEP during hospital stay at rest [p=0.0164] and on exertion after 1 week [p=0.0083] and 4 weeks of follow up [p=0.0470]. No significant difference observed in VAS between Lichtenstein and TEP during follow up- At Rest [1 week (p=0.3853), 4 weeks (p=0.4489), and 12 weeks (p=0.8933)], On Exertion [hospital stay (p=0.0675), and 12 weeks (p=0.2353)]. Both were comparable in Intraoperative and Post-operative complications {vascular injury (p=0.4230), seroma [hospital stay (p=0.8327), follow up {1 week (p=0.6507), 4 weeks (p=0.6406)}]; haematoma [hospital stay (p=0.4436), after 1 (p=0.1245)], 4 weeks follow up (p=0.4515); superficial infection [hospital stay (p=0.6740), 1 week (p=0.6406), 4 weeks (p=0.4515) follow up]. No deep wound/mesh infection occurred in either group. Duration of hospital stay was significantly more in Lichtenstein than TEP group [p=0.0304]. Conclusion: Our study supports that Extraperitoneal (TEP) mesh repair is the better modality of treatment as compared to Open Lichtenstein tension-free mesh repair for inguinal hernia repair.