Abstract: Objective   To analyze recent efficacy and safety of laparoscopic totally extraperitoneal implantation in treatment of inguinal hernias.Methods  62 cases of inguinal hernia who received therapy，according to random table method，those patients was divided into control group and research group，31 cases in each group.The control group was treated with tensionfree hernia repair，and the research group was treated with laparoscopic totally extraperitoneal repair.Compared the surgical effect，complications and recurrence rates between the two group.Results  Operation time between control group and reaearch group was no difference [（48.90±7.12）min vs（51.04±6.79）min，P>0.05]，intraoperative blood loss[（7.60±1.03）ml vs（11.83±1.90）ml]，postoperative autonomous team of bed activity time[（1.25±0.15）vs（2.11±0.24）]，postoperative pain score[（1.59±0.23）vs（3.10±0.42）] in research group was lower than the control group(all P<0.05).There was hematoma，urinary retention and surgical field nerve sensation in both groups，but the complication rate was no difference between two group(16.13% vs 19.35%，P>0.05).During the followup，the recurrence rate in the control group and the research group was 6.45%（2/31）and 3.23%（1/31），respectively.The difference was not statistically significant（P>0.05）.conclusion  Recent effect of laparoscopic totally extraperitoneal repair in the treatment of inguinal hernia is certain，postoperative recurrence rate is low，postoperative recurrence rate was low，it has the advantages of small trauma，quick recovery and less complication.

Key words: inguinal hernia, laparoscopic totally extraperitoneal implantation, recent effects, security