Background: Several approaches have been used for repair of groin hernias, each repair has its advantage and disadvantage, this Study presents a comparison between both techniques Stoppa versus bilateral Lichtenstein for repair of bilateral hernia Methods: Between January 2014 to January 2016,this study included n=70 patient with bilateral inguinal hernia who were allocated randomly to two groups Group (S) included n=35 patients who were operated with Stoppa operation and group (L) included n=35 patients who were operated with bilateral Liechtenstein repair, preoperative data ,operative and postoperative complications were noted ,follow up at 7 days and every 3 months until two years ,at the outpatients clinic. Results : Respectively for group (S) versus group( L): age 44.33±7.0 years versus 43.23±9.0 years, The operative time was shorter regarding group ( L) 55.21±4.0 versus 73.22±9.0 in group (S), (P- 0.05),and operating room costs LE613 (S) versus LE 420 in (L ). All the patients were enrolled median follow up was 20.4 months ranges (22 and 44 months). Long-term follow-up was possible by telephone interview in 65 patients 35 and 30 in both groups respectively. Recurrences were observed in n= 2patients of 30 (6.5%) of the contacted patients in L group. Conclusion: We believe a tension-free technique allows bilateral inguinal hernias to be repaired through one operation with similar outcomes as a unilateral tension-free repair but with less cost than a sequential bilateral repair, and we advised repair of bilateral inguinal hernia with Stoppa operation regarding the recurrence rate, in spite of its more operative time that can be improved with more learning curve thus we advised Stoppa operation, in a familial surgeons