Abstract : An incisional hernia is a hernia in the abdomen caused by a prior surgical incision. Wound infection, malnutrition, morbid obesity, chronic cough, prostatism and larger incisions are considered as risk factors for developing incisional hernia. The present study compared the outcome of both laparoscopic and open mesh repair for incisional hernia repair in terms of duration of hospital stay, post-operative pain, time taken to resume normal work and complications. Over a period of 18 months, about 60 patients diagnosed with incisional hernia in a tertiary hospital were enrolled in the study. They were assigned into group A and group B in a randomized manner and group A underwent laparoscopic IPOM/IPOM PLUS and group B underwent open mesh repair. The patients were followed up for a period of 6 months. The difference between two groups in terms of duration of surgery, mean pain score, duration of analgesia, duration of hospital stay, post-operative complications, time taken to resume normal activities were recorded and found to be statistically significant. Laparoscopic approach for incisional hernia has shown better results on comparing with open approach. Laparoscopic incisional hernia repair has low postoperative morbidity with early recovery rate compared to open incisional hernia repair.