IPOM repair of Inguinal hernia repair may be a feasible, safe and effective procedure in the treatment of a hernia repair is performed during other laparoscopic procedures. According to Dr R K Mishra the IPOM has infact been shown to be faster and easier than the other more commonly performed laparoscopic hernioplasties. These data may also suggest to utilize this technique in particular cases of primitive hernia such as very active young males or heavy duty workers. However the limited series and the short follow-up ask for randomized prospective long term studies to definitely ascertain the true incidence of recurrence and therefore the effectiveness of this attractive procedure.