Aims: Evaluation of the possibilities, advantages and safety of laparoscopic treatment of inguinal hernias in patients with hepatic cirrhosis and ascites, particulary to evaluate the TAPP approach for the treatment of inguinal hernias in patients with hepatic cirrhosis and ascites. Methods: Group I—TAPP repair in 11 patients with liver cirrhosis and ascites. Group II—Lichtenstein-type hernioplasty in 15 patients with liver cirrhosis and ascites. All pacients underwent planned surgery, after dosage preoperative laparocentesis and correction of liver function indices. Results: No complications developed in the first group of patients. No site of infection, no edema, no leakage of ascites fluid was observed. Postoperatively, all patients recover well, they noticed less pain, the average VAS pain in the first postoperative day was 4, of which the dose of analgesics was much lower. Patients were discharged at home 3–5 days postoperatively. In group II—minor complications were observed: 1 local hematoma, 1 seroma. More expressed postoperative pain syndrome. Duration of hospitalization 6–7 days. During a 10-month follow-up, no patients had recurrence and chronic pain. Conclusions: TAPP repair performed in pacients with cirrhosis and ascites is safe and feasible. The TAPP repair offered the possibility to appreciate the macroscopic changes of the liver and possibly taking liver biopsies if necessary. TAPP repair reduces the days of hospitalization and postoperative recovery through decrease in pain syndrome. However TAPP repair in pacients with cirrhosis and ascites need to be studied more.