Objective:To evaluate the clincal therapeutic efficacy of meshplug tensionfree hernia repair in elder patients with inguinal hernia. Methods:The clinical data of 127 elder patients with inguinal hernia treated with meshplug tensionfree hernia repair in our hospital were analyzed retrospectively. Results:All cases were treated by tensionfree hernia repair with meshplug casehardened products which manufactured by American Bard Company. All the patients were cured. Average operation time was 40 min, and average hospital stay was 4.6d. The patients were followed up for 6~24 months,only 1 case had recurrence of hernia(recurrence rate 0.8%).Conclusions: Meshplug tensionfree hernia repair is a perfectly sound physiologic and anatomic operation. It is a simple,minitraumatic procedure, with advantages of quick recovery, low recurrence rate and wide indications. It is especially suitable to elder patients or patients with the type II or larger hernial.