Purposes <p>The classical totally extraperitoneal approach to inguinal hernia repair is considered to be more complex and less widely adopted than the minimally invasive transabdominal technique. This study aimed to present the Comfortable-Totally ExtraPeritoneal inguinal hernia repair (cTEP) technique and evaluate its outcomes. This involves a new approach to trocar positioning in extraperitoneal inguinal hernia repairs.</p> Methods <p>The standardized procedure comprises five steps, and it is accompanied by an explanatory video. The trocars were positioned in the same manner as in the transabdominal technique. All the patients who underwent laparoscopic inguinal hernia repair using the cTEP technique between January 2022 and June 2024 were included in this study. Data on patient demographics, hernia type, operative time, complications, recurrence rate, and hospital stay were retrospectively analyzed.</p> Results <p>A total of 84 inguinal hernia repairs were performed in 48 patients using cTEP. The follow-up of the patients who underwent cTEP was performed at 1 week, 1 month, and annually thereafter. There were no recurrences at the mean follow-up of 18 months.</p> Conclusions <p>cTEP combines the benefits of the two most common minimally invasive approaches to inguinal hernia repair: an extraperitoneal approach with the surgical field, ergonomics, and reproducibility of the transabdominal technique.</p>