BACKGROUNDIncisional hernias are a common problem seen in approximately 11% of the patients after abdominal surgery. In case of Incisional/Ventral hernia repair, 50% or above of recurrence rates have been noticed. The advent of the laparoscopic repair of incisional and ventral hernias has brought down the recurrence rates to less than 10%. [1] The laparoscopic repair with the help of mesh fixation to the abdominal wall is poorly studied. This study was done to compare the various intraoperative and postoperative outcomes between two mesh fixation techniques, transfacial sutures alone versus tackers.The aim of this study is to compare two techniques of mesh fixation, i.e. Tacker versus Transfacial monofilament absorbable and non-absorbable sutures alone for the laparoscopic repair of incisional/ventral hernia repair.