Background: Hernia repairs are frequently performed surgically, using both open and laparoscopic methods. There is disagreement regarding whether laparoscopic Transabdominal Preperitoneal (TAPP) mesh repair is better than open hernia repair, despite the fact that it may have advantages including less pain following surgery and a speedier recovery. The purpose of this study was to compare the results of open hernia repair vs laparoscopic TAPP mesh repair. Methods: One hundred participants were randomised to have either open hernia repair (n = 50) or laparoscopic total anterior posteriorplasty (n = 50) in a prospective, comparative trial. Demographic information, surgical specifics, problems, length of stay in the hospital, return to regular activities, and patient satisfaction were all gathered. The statistical analysis was done with SPSS 23.0. Results: The laparoscopic TAPP group had a significantly shorter mean duration of surgery (70.2 ± 15.4 minutes) and less blood loss (50.3 ± 20.5 ml) compared to the open hernia repair group (95.3 ± 18.6 minutes and 120.6 ± 35.2 ml, respectively; p < 0.001). The laparoscopic group also had a shorter hospital stay (2.5 ± 0.8 days) and quicker return to normal activities (10.5 ± 3.2 days) compared to the open repair group (4.3 ± 1.2 days and 18.7 ± 4.6 days, respectively; p < 0.001). Patient satisfaction was higher in the laparoscopic group (8.9 ± 1.1) compared to the open repair group (7.4 ± 1.3; p < 0.001). Complication rates did not significantly differ between the groups (p = 0.221). Conclusion: Laparoscopic TAPP mesh repair offers advantages over open hernia repair, including shorter surgery duration, reduced blood loss, shorter hospital stay, quicker recovery, and higher patient satisfaction. Both techniques are safe and effective, but the laparoscopic approach may enhance patient outcomes and recovery. Recommendations: It is advised to conduct more extensive research and long-term monitoring to corroborate these results and investigate whether laparoscopic TAPP mesh repair is more affordable than open hernia surgery.