Inguinal hernia is a common and frequent surgical disease, and surgery is the only cure for inguinal hernia in adults. Currently, most of the laparoscopic inguinal hernia repair operators use TEP and TAPP. IP0M (intraperitoneal onlay mesh) is a simple procedure, but it requires the use of anti-adhesion patches, which is costly and is seldom used nowadays. Surgical experience is as follows: 1. Preoperative discussion can avoid surgical risks and improve the overall diagnosis and treatment level of the department, and should be actively carried out. With the development of our country’s health, patients with inguinal hernia now tend to age, the elderly function decline, often accompanied by many internal diseases, such as hypertension, diabetes mellitus, pulmonary heart disease, etc., and the hernia sac is larger, which brings unfavorable factors to the development of laparoscopic surgery. We can not ignore the effect of carbon dioxide absorption on the body of the elderly, serious cases of postoperative cardiac failure, laparoscopic surgery has a small incision, fast recovery, but general anesthesia can not tolerate patients, should not be performed the operation, local anesthesia surgery can be considered. 2, domestic and foreign literature reports, are believed that the key to the success of TAPP and TEP surgery lies in the rational selection of patients and the surgeon’s surgical skills. The learning curve of the two surgical modalities is longer than that of open surgery, and at the initial stage of surgery, it is best to select patients with a shorter history, incipient hernia, small hernia sac, and no history of surgery on the affected side of the lower abdomen or the lower abdomen, of course, the anatomy of the pubic ramus needs to be very familiar with, or else the spermatic cord transection can easily occur. tAPP is relatively simple, but there are some difficulties in the peritoneal suture. tEP has a small space, and the operation is relatively difficult. The author believes that as long as the operator is skillful in operation, familiar with the anatomy and has accumulated some experience, this kind of surgery can be carried out under the guidance of experienced physicians. 3, domestic and foreign scholars prefer TEP, TAPP need to enter the abdominal cavity, the initial stage of development of visceral injury, poke hole hernia, small bowel obstruction and other intra-abdominal complications reported, the total complication rate seems to be higher than the TEP, which is not in favor of the TAPP is a major reason, the author believes that the TAPP than TEP is relatively easy to master, because the abdominal cavity space is larger, exposure is good, the operation is easy to operate, the operation of the carefully, the general can be successful and can also be used for the operation, the author thinks the TAPP is relatively easy to master. Generally, the operation can be completed successfully, and at the same time, the bilateral inguinal structures can be observed in order to find hidden inguinal hernia. 4, incision infection is a serious complication of hernia repair, which can lead to surgical failure. Therefore, in the future, we will strengthen the preoperative umbilical cleansing, and at the same time the skin is sterilized with a protective film to strengthen the concept of asepsis. In conclusion, TEP and TAPP are both safe and feasible for inguinal hernia repair, and the choice of surgical method depends on the experience level of the surgeon, the type of hernia, and the patient’s medical history. Initial preparation for performing the procedure should be done by familiarizing oneself with the specific anatomy and landmarks of the laparoscopic procedure and understanding the management of complications. Regardless of the type of procedure used, laparoscopic or open, the principle is to minimize surgical complications and recurrence rates, and to ensure the medical safety of the patient. It is recommended that TAPP be used at the initial stage of laparoscopic hernia repair, and that TEP be used when the operator is skilled and familiar with the anatomy and has gained some experience.