Background: Hernia repair is one of the most commonly performed surgical procedures worldwide. The choice between laparoscopic and open hernia repair techniques is influenced by several factors, including postoperative pain and recurrence rates. Methods: This cross-sectional study involved 200 patients who underwent hernia repair (100 laparoscopic and 100 open). The primary outcomes measured were postoperative pain, assessed using the Visual Analog Scale (VAS), and recurrence rates within the first year post-surgery. Results: Laparoscopic hernia repair showed significantly lower VAS scores postoperatively compared to open hernia repair (p < 0.05). The recurrence rates within one year of surgery were also lower in the laparoscopic group compared to the open group, though this did not reach statistical significance (p = 0.07). Conclusion: Laparoscopic hernia repair is associated with less postoperative pain and tends to have lower recurrence rates within one year compared to open hernia repair. These findings suggest that laparoscopic techniques could be considered the preferred approach in suitable candidates.