Background; Inguinal hernias remain an important medical problem due to their high incidence among population. The estimated lifetime risk for inguinal hernia is 27% for men and 3% for women. Annual morbidity rates in various countries vary from 100 to 300 per 100,000 citizens, Aim and objectives; to compare Desarda technique with tension free mesh (Lichtenstien) technique in repair of inguinal hernia and throw some light on different methods of tension free repair of inguinal hernia, Subjects and methods; This clinical trial study was conducted at Department of General Surgery Faculty of medicine, Benha University Hospital. The present study included a total of 80 adult male patients with primary inguinal hernias randomly allocated intraoperatively to undergo one of the two repairs: Desarda tissue-based repair (D) or the classic Lichtenstein mesh repair (L). Patients with bilateral hernias are also included, but only one side is attacked at a time, Result; a statistically significant difference was found in time to return to basic and home activities in favor for DT group was found (Independent sample t test, P < .005). However, no statistically significant difference was found between groups regarding time to return to work activity (Independent sample t test, P = .285), Conclusion; Desarda repair was found to be superior in terms of less operating time, less post-operative pain scores, and early return to preoperative functional status. Use of Desarda repair avoids mesh related complications like mesh infection, heaviness in the groin and foreign body sensation. Desarda repair is much more economical than Lichtenstein repair, Keywords; Desarda tissue-based repair (D), the classic Lichtenstein mesh repair (L).