SummaryThere have been multiple different approaches to laparoscopic herniorrhaphy with a tendency toward exposure of the preperitoneal space with placement of a prosthesis into this area. The transabdominal preperitoneal (TAPP) approach is a reasonably simple, safe repair, resulting in a less than 1% recurrence rate with minimal complications. This relatively pain-free herniorrhaphy allows rapid return to normal activity.