Aim: The study was aimed to describe the outcome of single-incision laparoscopic surgery (SILS) and conventional totally extraperitoneal (CTEP) repair for inguinal hernias in terms of the following: (i) operative time; (ii) rate of conversion to open; (iii) postoperative complications; (iv) hospital stay; (v) cost; (vi) time until return to normal daily work; (vii) postoperative pain score; and (viii) cosmesis. Materials and methods: The present study was a prospective observational study done at the Government Medical College Srinagar, Department of surgery and allied super specialities. Results: The mean operating time in the CTEP group was 41.2 and 42.8 minutes for SILS TEP. Overall complications were slightly more in CTEP. The mean postoperative hospital stay was 19.2 and 21.8 hours in CTEP and SILS TEP, respectively. The average time to resume normal work was 3.7 ± 0.8 days in CTEP repair and 3.3 ± 1.2 days in SILS TEP repair. The mean visual analogue scale score at 6 hours in the CTEP group was 3.1 ± 2.8 and in the SILS TEP group 2.8 ± 0.8. The mean cosmetic result was 4.1 ± 0.9 in the SILS TEP group. Conclusion: Laparoscopic repair of inguinal hernias is associated with good results in both techniques. SILS TEP inguinal hernia repair using conventional laparoscopic instruments is a safe and feasible alternative to CTEP in experienced hands. The outcomes of SILS TEP for operation time, postoperative complication, hospital stay, time until return to normal activity, and rate of conversion to open are comparable to CTEP. However, the approach provided an advantage in terms of cosmesis and postoperative pain. Clinical significance: SILS TEP although having a learning curve and difficult to use in large/complete groin hernias is a good technique for use in small hernias using routine laparoscopic instruments in a resource-limited setting with significant outcome in terms of cosmesis.