Aim: This study aimed to compare single-incision laparoscopic surgery (SILS) and conventional multi-port laparoscopy (MPL) in hernia repair, focusing on operative outcomes, postoperative pain, recovery, complications, and cosmetic results. Material and Methods: This prospective, comparative study was conducted at a tertiary care center, including 150 patients with hernias who were randomized into two groups: SILS (n = 75) and MPL (n = 75). Key outcomes included operative time, postoperative pain (assessed using a Visual Analog Scale at 6, 12, and 24 hours), hospital stay, recovery time, complications, and cosmetic satisfaction. Statistical analysis was performed using Student's t-test and Chi-square test, with a significance level of p < 0.05. Results: The mean operative time was longer in the SILS group (52.46 ± 8.21 minutes) compared to the MPL group (47.28 ± 7.89 minutes, p = 0.001). Postoperative pain was significantly lower in the SILS group at all time points, with a mean VAS score of 3.54 ± 1.02 vs. 4.26 ± 1.14 at 6 hours (p = 0.001). The SILS group had a shorter hospital stay (1.84 ± 0.57 days vs. 2.24 ± 0.62 days, p = 0.001) and faster recovery (10.32 ± 2.16 days vs. 12.84 ± 2.47 days, p = 0.001). Complication rates were low and comparable between groups, while cosmetic satisfaction was higher in the SILS group (93.33% vs. 84.00%, p = 0.045). Conclusion: SILS offers advantages over MPL, including reduced postoperative pain, faster recovery, and superior cosmetic outcomes, although it requires slightly longer operative times. Both techniques showed comparable safety and complication rates. SILS is a viable option for patients prioritizing minimal scarring and quicker recovery, provided the surgeon has adequate expertise.