More than 20 million inguinal hernioplasties are performed annually worldwide by various methods [1]. The Lichtenstein operation recommended by the European Society of Herniologists as the "gold standard" in open inguinal hernia treatment, despite its leading position in the world, has a number of disadvantages. According to the studies of some surgeons, the introduction of implants has a correlation with the development of local wound complications and chronic pain syndrome in the postoperative period. And the percentage of recurrences after Lichtenstein hernioplasty ranges from 0.8 to 8% [2]. Some authors have noted an increased frequency of pain syndrome when using the ligature method of fixation of mesh implants. Their frequency ranges from 7 to 12% [3,4]. However, the issue of fixation is still controversial [5,6,7]. Aim of the study: to compare the results of Lichtenstein inguinal hernioplasty using self-fixing implants and implants requiring ligature fixation.