Introduction: Inguinal hernia repair is one of the most commonly performed surgical procedures worldwide. The choice of surgical technique remains a topic of debate, with Modified Bassini's repair and Lichtenstein's repair being two widely used methods. This study aims to compare the outcomes of these two techniques in terms of postoperative complications, recurrence rates, and patient satisfaction Materials and Methods: A prospective randomized study was conducted on 200 patients with indirect inguinal hernia. Patients were divided into two groups: Group A (Modified Bassini's repair) and Group B (Lichtenstein's repair). Inclusion criteria included adult patients with primary unilateral indirect inguinal hernia, while exclusion criteria included recurrent hernias, complicated hernias, and patients with comorbidities. Data were collected on operative time, postoperative pain, complications, recurrence rates, and patient satisfaction. Results: The mean operative time was shorter in Group A (45 minutes) compared to Group B (55 minutes). Postoperative pain was significantly lower in Group B (p < 0.05). Complication rates were comparable, but recurrence rates were higher in Group A (5%) compared to Group B (1%). Patient satisfaction was higher in Group B (90%) than in Group A (75%). Conclusion: Lichtenstein's repair offers better outcomes in terms of postoperative pain, recurrence rates, and patient satisfaction compared to Modified Bassini's repair. However, Modified Bassini's repair may still be a viable option in resource-limited settings.