M-shaped preperitoneal hernioplasty is a safe and easy repair for all inguinoscrotal hernias and mostly for recurrent and although carfule follow up is mandatory to assess for late recurrence. Based on the aforementioned data, analysis of the five “relevant end points” proposed by Rutkow, 1995, for assessing new techniques and surgical outcomes after herniorrhaphy (technical difficulty, overall complication rate, overall rehabilitation, recurrence rate and socioeconomic factors), shows that MPH fulfils the essential requirements for a modern-day option for the treatment of groin hernias.Lastly we conclude that, since so far no special method for repairing inguinal hernia has been proved to be outstanding and the majority of hernia surgery will be performed by surgeons not highly specialized in hernia surgery, the best way to reduce the recurrence rate will be to improve the technical skill and the judgment of the surgeons, remembering that only patients can give us the clues for progressing toward a suitable hernioplasty.