Objective: To assess the initial outcomes of Laparoscopic Totally Extraperitoneal (TEP) surgery for inguinal hernia (IH). Patients and Methods: This study included 58 patients diagnosed with IH who were treated with TEP at the Viet Tiep Hospital between September 2021 and September 2023. Results: The mean age was 57.1 ± 11.7 years. Of these, 58.4% were aged <
60 years old. There were 37 (63.8%) had right-sided IH and 21 (36.2%) had left-sided IH. Most patients (79.3 %) had indirect inguinal hernias. The mean operation time was 60.3 ± 21.3 minutes
postoperative hospital stay was 5.1 ± 1.6 days. Intraoperative and postoperative complications were mild and infrequent. Regarding early surgical outcomes, most patients have excellent results, accounting for 91.4%. No poor results were observed. Conclusion: TEP for IH is a safe and effective method to minimize early complications and adverse events