Background and Aims Inguinal hernia is the most common disease in the field of abdominal wall surgery, and the main treatment approach is surgical intervention. With the advancement of surgical techniques and material sciences, the effectiveness of inguinal hernia surgery has gradually improved, and there are various surgical methods available. However, none of these surgical approaches can completely eliminate the possibility of postoperative recurrence, and managing recurrent hernias is more complex than dealing with primary hernias. Currently, there is no consensus on the treatment of recurrent inguinal hernias. The development of modern laparoscopic surgical techniques has made transperitoneal preperitoneal hernia repair (TAPP) a minimally invasive surgical option for inguinal hernia treatment, which is less traumatic and offers quicker recovery. This study was conducted to explore the efficacy of TAPP in the treatment of various types of recurrent inguinal hernias and provide guidance for the surgical management of recurrent inguinal hernias.Methods The clinical data of 90 cases of recurrent inguinal hernia treated from July 2012 to July 2022 were retrospectively analyzed. Of these patients, 46 cases undergoing TAPP treatment were assigned to the observation group, while 44 patients receiving other surgical procedures were served as the control group. The relevant clinical variables of the two groups of patients were compared.Results Surgical procedures in both groups were successfully performed. There were no cases of conversion to open surgery in the observation group. During surgery, 26 cases (56.5%) were confirmed as true recurrent hernias, and 20 cases (45.4%) were diagnosed as false recurrent hernias in the observation group. There was no statistically significant difference in the operative time between the two groups (P>0.05). However, the observation group exhibited superior results in terms of intraoperative blood loss, time to first ambulation, and length of hospital stay (all P<0.05). The observation group had a significantly lower overall incidence of postoperative complications compared to the control group (19.6% vs. 43.1%, P<0.05). There were no cases of re-recurrence in the observation group, while the control group had 2 cases of re-recurrence, but the difference in recurrence rates between the two groups was not statistically significant (P>0.05).Conclusion In the surgical treatment of various types of recurrent inguinal hernias, the use of TAPP can reduce intraoperative blood loss, facilitate early ambulation, shorten hospital stays, and result in a lower rate of postoperative complications. It is a safe, effective, and feasible surgical approach for treating various types of recurrent inguinal hernias.