ABSTRACT Patients undergoing peritoneal dialysis (PD) are at a higher risk of developing inguinal hernias. While the open inguinal hernia repair has traditionally been the preferred surgical approach, there are no established guidelines for the selection of surgical techniques. Between October 2018 and October 2022, transabdominal preperitoneal hernia repair (TAPP) was performed in four PD patients. The median age was 80.5 years (range: 67–88 years), and all patients were male. Two cases involved bilateral inguinal hernias, all of which were lateral inguinal hernias. The median operative time was 80.5 min (range: 56–141 min). No intraoperative or postoperative complications occurred. PD was resumed on Postoperative day 6 (range: 2–7 days), and no cases exhibited dialysate leakage, infections, and recurrence. TAPP was safely performed in PD patients.