Introduction: Inguinal hernia is a common surgical diagnosis worldwide for which Lichtenstein mesh repair is considered gold standard but this surgery also has some limitations like post operative pain, wound infection, mesh migration, etc. To overcome these problems, Desarda proposed a tension free tissue repair without mesh placement. The main advantages proposed by Desarda technique are similar results in respect of recurrence rate, less post operative pain, less wound infection as with Lichtenstein mesh repair technique. The aim of the study was to compare Desarda tissue repair technique with Lichtenstein mesh repair for treatment of inguinal hernia. Methods: 70 patients of inguinal hernia were included in the study and randomly allocated on alternate basis into 2 groups of 35 patients each in Desarda group and Lichtenstein group. Post operative pain on POD 1 was assessed using Visual Analogue Scale.Ambulation time, day of discharge, seroma formation, wound infectionand recurrence within 3 months of follow up were analysed. Results: During the follow up of 3 months, the mean post op pain as per VAS on POD 1 was 2.20+/-0.4058 in Desarda group and 4.9143+/- 0.5621 in Lichtenstein group. Post op pain on POD 1 was significantly less in Desarda group(p<0.0001).Ambulation time was significantly less in Desarda group as compared to Lichtenstein group (p=0.0026).Patients in Desarda group were discharged from hospital earlier than patients in Lichtenstein group which was statistically significant (p<0.0001). On 3 months of follow up there were no recurrence in either group. Seroma formation and wound infection were observed in Lichtenstein group but these post operative complications were absent in Desarda group. Conclusion: Our study concludes that DesardaNon Mesh Tissue repair technique is superior to Lichtenstein Mesh Repair technique as there was less post operative pain, early ambulation time, patients were discharged earlier in Desarda group and post operative complications like seroma formation and wound infection were less in Desarda group as compared to Lichtenstein group.