The open mesh-based inguinal hernia repairs are now the most common hernia repair techniques and have replaced the suture-based repairs. Lichtenstein repair is the most common repair technique as it has a short learning curve and can be performed under local anesthesia. It is associated with reduced postoperative morbidity, and it has the lowest recurrence rate. The Plug and Patch and the Prolene hernia system are alternative open mesh-based repairs that can be performed for open inguinal hernia repair. In this review, we will look at the Lichtenstein repair, the Plug and Patch repair, and the Prolene hernia system, looking at the indications and complications. We will also compare these procedures regarding their postoperative complications and recurrence rates.