The main disadvantage of the single port technique is the relative loss of triangulation and the principle author has shown that this can be overcome with the use of a longer and smaller laparoscope (of which Holroyd Private Hospital has bought two specifically for this purpose), different dissecting techniques and with increased experience. Therefore, if a surgeon is not experienced with this technique the operation and its success can be compromised by inadequate dissection. The author (who has performed over 2500 TEP repairs over the past 13 years) believes that the learning curve for single-port TEP hernia repair for a highly experienced TEP surgeon is around 25-50 ie after this number the operation time will approach that of the standard three ports TEP repair and this has been shown in our recently completed RCT. He has performed in excess of 600 Single-port Laparoscopic hernia repairs since October 2009. Therefore the success of the operation for patients in either arm of the study will not be compromised by lack of experience.