The Laparoscopic Intraperitoneal Onlay Mesh (IPOM) technique for managing primary inguinal hernia repair has shown conflicting results in previous studies. The main concerns associated with this technique are intestinal adhesion and recurrence of a hernia. However, these concerns need to be balanced with associated advantages, including ease of performance, short operative and anesthesia time, and lower incidence of injuries to the spermatic cord and adjacent structures. Therefore, a retrospective study was conducted on a series of IPOM repairs for managing primary inguinal hernia. The study showed no additional complications related to intestinal adhesion on the mesh. Furthermore, discontinuing the hernia sac significantly reduced the recurrence rate; however, pain during follow-up was associated with recurrence.