Background: Inguinal hernia repair is one of the most commonly performed surgical procedures worldwide. The optimal surgical technique remains debated, with both open Lichtenstein and laparoscopic Transabdominal Preperitoneal (TAPP) approaches offering distinct advantages. Objectives: To compare the outcomes of TAPP hernioplasty versus Lichtenstein's open hernioplasty in terms of operative time, postoperative pain, complications, hospital stay, return to daily activities, recurrence, and patient satisfaction. Methods: This prospective interventional study was conducted over two years (May 2023 to May 2025) at Government General Hospital, Kakinada, Andhra Pradesh. A total of 50 patients with inguinal hernia requiring surgical intervention were randomly allocated into two groups: Group 1 (n=25) underwent TAPP hernioplasty, and Group 2 (n=25) underwent Lichtenstein open hernioplasty. Both groups were compared regarding demographic profile, comorbidities, intraoperative and postoperative complications, pain scores, hospital stay, return to daily activities, recurrence, and patient satisfaction. Statistical analysis was performed using SPSS version 20, with p0.05). Postoperative complications were significantly higher in the Lichtenstein group (32% vs. 4%, p0.05). Conclusion: While Lichtenstein repair offers shorter operative time, laparoscopic TAPP hernioplasty provides superior outcomes in terms of reduced postoperative pain, fewer complications, shorter hospital stay, faster recovery, and lower recurrence rates. TAPP is particularly advantageous in older patients and complex hernia cases. The choice of technique should be individualized based on patient characteristics and surgical expertise