Abstract : This study is conducted to compare local anesthetic technique with spinal anesthesia for inguinal hernia repair with respect to operative technique, patient’s satisfaction, post-operative complication and pain in patients operated in our institute. Prospective observational study was conducted in Department of General Surgery, Dr D.Y.Patil Medical College, Hospital and Research Centre, Dr D.Y.Patil Vidyapeeth, Pimpri, Punefrom September 2019 to August 2021 following approval from Ethical committee of hospital. Prior to surgery, all patients were kept nil by mouth overnight and given a prophylactic antibiotic dose. Mean age of 102 male study sample was 44.86 years (standard deviation of 8.92 years), 48 (47.1%) samples were from 41-50 years age group. Mean duration of surgery (min) for Lichtenstein open inguinal meshplasty under local anaesthesia was not significantly different from those operated under spinal anaesthesia (p=0.320). Mean intraoperative pain score for Lichtenstein open inguinal meshplasty under local anaesthesia was not significantly different from those operated under spinal anaesthesia(p=0.735) while post-operative pain score following surgery on day 1, day 3 & day 5 was significantly lower for open inguinal meshplasty under local anaesthesia in comparison with spinal anaesthesia (p<0.05). Higher post-operative complications were recorded among Lichtenstein Open Inguinal Meshplasty operated under spinal anaesthesia. Inguinal hernia repair under local anaesthesia as a day care surgery is safe and cost effective alternative to general and spinal anaesthesia with comparatively less complications and early ambulation.