Background: Different approaches can be performed for repairing abdominal wall hernias as as laparoscopic transabdominal preperitoneal (TAPP) approach. This study aimed to compare quality of life after laparoscopic transabdominal preperitoneal repair (TAPP) and Lichtenstein hernioplasty according to EuraHS QOL SCORE. Patients and Methods: This is a prospective clinical comparative study upon 132 patients with inguinal hernia admitted to the surgical department of Zagazig University for inguinal hernia repair. The patients were allocated into two groups using closed envelope method of randomization. The patients were allocated into two groups: Laparoscopic group (n=66) and Open group (n=66). All patients involved in the study were subjected to full history and clinical examination and routine investigations and EuraHS QOL Score Evaluation. Results: There is statistically significant difference among both studied groups as regard intraoperative complications (p<0.05). Operative time showed highly statistically significant difference among both studied groups (p<0.001) with laparoscpoic group longer than open group. Duration of stay showed highly statistically significant difference among both studied group as regard (p<0.001). There is no statistically significant difference among both studied groups as regard preoperative pain felt during last week score (p>0.05), but there is statistically significant difference among both studied groups as regard post-operative pain felt during last week score after 1 month and post-operative pain felt during last week score after 3 months (p<0.05). Conclusion: Trans-abdominal pre-peritoneal repair (TAPP) is better than lichtenstein hernioplasty in terms of quality of life (QOL) according to EURAHS QOL SCORE.