Inguinal hernia repair is an extremely common operation performed by surgeons. More than 800,000 repairs performed annually. An inguinal hernia is an opening in the myofascial plain of the oblique and transversalis muscles that can allow for herniation of intraabdominal or extraperitoneal organs. These groin hernias can be divided into indirect, direct, and femoral based on location. Most patients present with a bulge or pain in the groin. Healthcare professionals recommend repairing all symptomatic hernias to avoid complications. An open or laparoscopic approach can be used with the goal of defect closure and a tension-free repair. A mesh is usually used for a tension-free repair. When the mesh is contraindicated, primary suture repair can be performed.