Aim:Laparoscopic repair of inguinal hernia is a well-known method which is mostly performed under general anesthesia. There are few studies on total extraperitoneal preperitoneal (TEP) under spinal anesthesia. We wanted to share our experience on TEP under spinal anesthesia. Materials and Method:Thirty-two patients who underwent TEP repair under spinal anesthesia from January 2014-february 2015 were included into the study. Age, gender, body mass index(BMI), operation and anesthesia durations, side effects, patient satisfaction and results were analyzed retrospectively. Follow up period was one year. The short term and long term effects of surgical technique and anesthesia were recorded. Results:Thirty-two patients were operated. Mean operation period was 54.46�9.44 (39-71 ) minutes and the mean period of spinal anesthesia application was 17.28�3.98 (12-27) minutes. All operations completed successively without conversion. Heart and respiratory systems were stable during the operations and there wasn�t any per-operative complication but two patients (%6.25) experienced shoulder pain. None of the patients needed analgesics within the first two hours of post operative period. Hypotension in one patient (%3.125), spinal headache in one (%3.125) and urinary retention in 2 patients (%6.25) developed in early post operative period. Patient satisfaction was evaluated with Likert Scala and score was 4.36 � 0.66(3-5). There wasn�t any recurrence nor anesthesia-dependent sequel at the end of 13-months od follow-up. Conclusion:Spinal anesthesia can be used routinely as a safe and effective anesthesia method in TEP hernia repair. Key words: Spinal anesthesia, TEP, shoulder pain, inguinal hernia

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