Background: Elderly patients frequently suffer from inguinal hernia and benign prostatichyperplasia. When these two occur together, itbecomes important to decide which surgeryshould be done first.Methods: Data was maintainedprospectively for 35 patients undergoingsimultaneous transurethral resection ofprostate (TURP) and inguinal mesh hernioplastyat our hospital between May 2000 and December2002. The results were analyzed to determinewhether the performance of the two operationssimultaneously was a viable option in such apatient category.Results: In 33 patients unilateralhernioplasty, and in 2, Stoppa's mesh repair(for bilateral hernia) was performed along withsimultaneous TURP by two independent operatingteams. There was no significant increase inoperating time or post-operative stay when thetwo procedures were performed together. Therewere no major in-hospital complications. Onfollow up, all the patients have remained well,with no recurrence of hernia.Conclusions: Combining mesh hernioplastyand TURP is a better option because of lowwound infection and hernia recurrence rates.Combining these two also saves the patient ofhaving to undergo another hospital admissionand surgery, besides the significant costsavings.