Background: Inguinal Hernias are among the most common clinical entities requiring surgical intervention in general surgery. Aim: To analyse the different surgical approaches chosen for the inguinal hernia repair in the rural areas of the third world country, the complications thereof and the hospital stay retrospectively. Methods: 365 patients presenting to the hospital between November 2017 to November 2019 were analysed for the surgical intervention in inguinal hernias. Results: 349 patients out of 365 underwent the open surgical intervention and 16 were dealt laparoscopically. Average duration of 45 minutes to 1 hr and 1 hr 45 minutes to 2 hrs was noted in open and laparoscopic method respectively. Recurrence was seen in 2 cases which had undergone open method. : 4 cases of wound infection were noted, out of which mesh removal was done in 1 case. Conclusion: Open surgery is the preferred method of surgical intervention in socially backward area.