Introduction: Inguinal hernia repair is a widely performed surgical procedure, essential for addressing the protrusion of abdominal contents through a weakened area in the inguinal region. Objective: The main objective of the study is to find the frequency of surgical site infections and surgical site occurrences requiring procedural intervention in patients undergoing inguinal hernia repair. Methodology of the study: This retrospective observational study was conducted and data were collected from 350 patients who underwent inguinal hernia repair. Data were collected from medical records (EMRs) and surgical logs for the 350 patients who underwent inguinal hernia repair. Patient demographics, including age, gender, body mass index (BMI), smoking status, and the presence of comorbidities such as diabetes mellitus and chronic obstructive pulmonary disease (COPD), were systematically recorded. Results: The study included 350 patients with a mean age of 55 years, of which 70% were male and 30% were female. The average body mass index (BMI) was 28.5 kg/m², and 40% of the patients were smokers. Among the cohort, 25% had diabetes mellitus and 15% had chronic obstructive pulmonary disease (COPD). 12% of the 350 patients developed surgical site infections (SSIs), with a higher incidence observed in those undergoing open repair (13.6%) compared to laparoscopic repair (9.2%). Surgical site occurrences (SSOs) were noted in 16% of patients, with seromas being the most common (8%), followed by hematomas (5%) and wound dehiscence (2.8%). Conclusion: It is concluded that surgical site infections (SSIs) and surgical site occurrences (SSOs) are significant complications in patients undergoing inguinal hernia repair, particularly among those with risk factors such as diabetes mellitus, smoking, and the use of mesh