Background & Objective: Hernias are one of the oldest recorded human conditions. Performing hernia repair under local anaesthesia is feasible and offers multiple advantages in terms of safety, patient comfort, operational efficiency, and cost-effectiveness.The aim of the study was to assess the feasibility, analysis of morbidity and recurrence during short term follow up by using the technique of tension free mesh hernioplasty under local analgesia. Method: The technique was evaluated in 40 cases of inguinal hernia, including indirect, direct and recurrent hernias. The obstructed and strangulated hernia was excluded. All patients were operated under local infiltration with or without sedation. Results: Most patients were discharged on the same day (87.5%). Most of cases were of indirect type (right sided). During 6 months follow up, there was not a single case of recurrent hernia. Only 1 case out of 40 was associated with the risk of surgical site infection.Conversion from local to general anaesthesia was required in only 2 (5%) patients. Conclusion: This study concludes that it is a cost-effective method and comparatively safer method of inguinal hernia repair provided anatomy is not very complex, proper technique and methods are followed.