Level 3A	Both open and laparoscopic surgical approaches have been reported to eliminate symptoms effectively and enable patients to return to previous sporting activity levels.
	The success rates are very good and comparable between open (92.8%) and laparoscopic (96%) repairs based solely on the criterion of return to sports activity.
	A wide variety of open repair techniques are described with or without mesh, including repair of a presumed “thin” or damaged insertion of the tendon of the rectus abdominis onto the pubic crest, but there are no data allowing a comparison between these techniques.
	There is no scientific evidence that an adductor tenotomy is of any additional value.
	In open repair, ilioinguinal nerve resection seems to be beneficial.
	Laparoscopic approach may provide better posterior inguinal wall exposure, enabling easier bilateral reinforcement.
	During surgery, the inguinal canal should be thoroughly explored to find different entities responsible for inguinal pain (preperitoneal lipoma, etc.).
	Laparoscopic techniques generally enable a quicker recovery time than open techniques.
Level 4	Two variations of laparoscopic surgery are applied: the transabdominal preperitoneal patch plasty (TAPP) and the total extraperitoneal patch plasty (TEP); however, no study shows the superiority of one compared with the other.