Introduction: SILS TEP was first reported in 2008 and SILS TAPP was first reported in 2009, but not many surgeons have embraced these techniques due to complexity in performing them ergonomically.

Methods: We perform SILS TEP using the SILS port. We make a 2.5 incision infra-umbilically and enter into the retro-rectus space and develop the pre-peritoneal space using the CO₂ and instruments right from the beginning, rest of the steps is similar to a conventional TEP repair. At the end of the procedure we close the rectus sheath and skin meticulously. In SILS TAPP we do not using any special port and we use a single site multi-port (SIMPS) technique using conventional ports and instruments to perform the repair. We use 1x10mm optical port and 2x5mm working ports on either side of the optical port. We do not use any angled light connectors or long telescope or long instruments in this technique. We incise the peritoneum, reduce the Hernia and dissect the space adequately. We place a 15x13 cm Polyproplene mesh and anchor it to the Cooper's ligament and Anterior abdominal wall using Prolene sutures. We close the peritoneal flap using Polydioxanone sutures.

Results: The cosmetic results of these techniques are excellent and way superior to conventional repairs. The pain associated is less. There is no compromise to principles of repair. We can suture fix in a manner similar to the conventional repairs and close the peritoneum using conventional suturing. No increased incidence of port site Hernia's.