The objective of this literature review is to see if changing the site of the mesh from outside to inside has any effect on the occurrence of posthernia repair pain. And also to review different author's opinion about causes occurrence and management of postmesh inguinal pain.

Literature review conducted using Google search engine, Google books, HighWire press, using keywords like postinguinal hernia pain, complications of hernia surgery, laparoscopic mesh repair.

Chronic pain after surgery has been recently a neglected topic. The extent of the problem first came to light in a survey of patients attending pain clinics in Scotland and the north of England. This survey showed that about 20% of patients attending chronic pain clinics implicated surgery as one of the causes of their chronic pain, and in about half of these; it was the sole cause.¹ Inguinal hernia repair is a common surgical procedure performed worldwide with an annual procedural rate of 2,800 per million people in the United States alone. In England and Wales, 70,322 primary inguinal herniorrhaphies were performed in National Health Service Hospitals between 1998 and 1999. Inguinal herniorrhaphy is often performed as a daycase procedure with minimum postoperative morbidity. After inguinal hernia repair, patients can return to work early and enjoy a good quality of life. Since modern surgical thinking concerning inguinal hernia repair was established by Bassini in 1884, various modifications have been developed to improve outcome. Despite the fact that recent meta-analyses have suggested that laparoscopic surgery is associated with less postoperative pain and more rapid return to normal activity, open mesh repair is still recommended by the National Institute for Clinical Excellence.