ABSTRACT Acceptance date: 20 February, 2024 Introduction: A comparison between Laparoscopic TAPP versus IPOM. Laparoscopic ventral hernia repair has many benefits compared to open surgical repair, however the associated costs in relatively simpler laparoscopic IPOM have made it unaffordable for many in the developing countries. Laparoscopic TAPP is technically demanding however affordable. Methods: A retrospective comparison between laparoscopic IPOM and TAPP cases over 1 year, done by a single laparoscopic surgeon, in terms of operative outcomes and cost. Results: 16 patients, 12 in IPOM and 4 in the TAPP group. The meshes used among Laparoscopic IPOM cases were Parietex™ Composite mesh in 11, Proceed™ Surgical Mesh in 1; among Laparoscopic TAPP cases Vypro II® Mesh in 3, and PROLENE® Polypropylene mesh in 1. There was no significant difference in the mean defect size, mesh size, operating time, and hospital stay duration. No intra-operative, post-operative complication or recurrence was noted in both the groups. A significant difference in the mean cost of mesh used between the two groups noted (490 USD versus 91 USD, P=0.001). Conclusion: Laparoscopic TAPP fares better than IPOM in circumventing the issues of mesh coming in contact with the viscera as the mesh is placed in a separate pocket, less pain, no increase seen in complications or recurrence, with less cost of materials used making laparoscopic ventral hernia repair affordable for the lower socio economic status people too.