Background: The present prospective study was undertaken for assessing the complications while repairing the Incisional Hernia by Preperitoneal Meshplasty. Materials & methods: A total of 100 patients of inguinal hernia were enrolled. Detailed medical and family history of all the subjects was recorded. Exclusion criteria for present study included subjects with history of any other systemic illness, subjects with any known drug allergy. All patients underwent preperitoneal meshplasty. Parameters such as mode of presentation, type, type of incision used, time of onset after the previous surgeries and complications were recorded. All the results were recorded in Microsoft excel sheet followed by statistical analysis using SPSS software. Results: Mean VAS at day one, day two, day four and day seven was 5.2, 4.1, 2.8 and 1.1 respectively. Postoperative cough, wound infection, bleeding and peritoneal breach was seen in 6 percent, 2 percent, 3 percent and 1 percent of the patients respectively. Conclusion: Preperitoneal mesh repair had excellent long-term results with minimal morbidity. The preperitoneal mesh repair is the gold standard treatment for incisional hernia repair as compared to other types of mesh repair techniques.