Plug and patch hernioplasty is a technique showing very good results. Actually some criticisms mainly concern the amount of prosthetic material and the shrinkage of the plug resulting in recurrence of hernia, groin pain, and/or migration. The new tridimensional mesh Parietene® PP allows to achieve a plug and patch hernioplasty, without any risk of plug migration. The Parietene® PP hernia repair in simple and easy to learn. Preliminary results are very satisfactory and comparable with the best outcome from mesh plug repair, without any risk of plug migration.