Background:The inguinal hernia is one of the most common surgical procedures performed by General Surgeons worldwide. The lifetime incidence of inguinal hernia is 27% in males and 3% in females. Inguinal hernias are one of the commonest problems encountered by the treating phsicians. Even though the learning curve for Lichtenstein hernioplasty is less, there is usage of a foreign body which may produce mesh reactions leading to various other surgical complications. Also the cost of the mesh is a little higher which may not be affordable for people belonging to low or very low socioeconomic class especially in developing countries like India. Desarda’s repair is a tissue based technique of hernia repair using an undetached strip of external oblique aponeurosis to strengthen the posterior wall of the inguinal canal. Aims and Objectives:To assess the efficacy of Mohan Desarda Technique of mesh-free inguinal hernia repair in a tertiary care hospital. Materials and Methods: This hospital based cross sectional study was conducted in the Department of surgery of Jawaharlal Nehru Medical College and Hospital, Bhagalpur and Nalanda Medical College and Hospital, Patna, Bihar, India, between October 2020 and September 2022. All patients admitted to the hospital with the diagnosis of inguinal hernia and fulfilling the inclusion criteria were counseled about the study. After obtaining informed written consent, all the study participants were subjected to a standard questionnaire both pre operatively and post operatively. Patients were followed up for a period of 6 months for assessing chronic postoperative pain, to record the post-op day on which they resumed their regular activity and the recurrence rate. Those participants who were unable to attend the review were contacted through the phone and questionnaire was completed. Results and Observations:A total of 167 patients was studied between Oct 2020 and September 2022. Mean operating time was found to be 44.63 ± 7.76 mins, 2.4% patients had developed seroma and only 1 person developed haematoma; none of the subjects had infection or recurrence; 77.6% had a pain score of 4 on POD 1, 96.4% had a pain score 2 on POD 2; mean duration of hospital stay was 4.9 ± 0.99 days; mean duration of resuming duty was 18.58 ± 3.43 days. Conclusion: Desarda’s technique is cost effective and therefore can be done in patients of all socioeconomic classes. Our results in this study after Desarda repair are good and similar to the results of Liechtenstein or Shouldice techniques. Hence, Desarda method seems to be an attractive alternative. It is safe, fast, simple and easy to learn and perform with minimal complications or recurrence.