Conclusion  It is not necessary to secure the mesh during laparoscopic TAPP inguinal hernia repair from the interior. External fixation allows a reduction in size of the ports needed, and leads to a considerable reduction in cost. Content Type Journal ArticlePages 1-4DOI 10.1007/s10029-010-0766-9Authors M. S. Abdelhamid, Baneswif Faculty of Medicine, Cairo, Egypt Journal HerniaOnline ISSN 1248-9204Print ISSN 1265-4906 (Source: Hernia)