The appearance of the mesh prosthesis on the market determined radical changes in the treatment of groin hernia. There had been no substantial variations for over a century since the invention of Bassini's technique in 1877. The tension-free hernioplasty makes the operation easy; it allows the use of local anesthesia and it lowers remarkably the chance of recurrence and complications. In this work the authors, with experience in herniorrhaphy according to Trabucco, illustrate the technique they use to perform the operation in an office-based surgical suite. Moreover, they explain how they eliminate the risk of recurrence that immediate mobilization of the patient and consequent movement of the prosthesis or creation of seroma may cause. In order to avoid these risks, the authors fix the polypropylene prosthesis with human fibrin spray glue. The patients are selected according to their psycho-social characteristics and the operating risk according to the classification of the American Society of Anesthesiology (ASA). They are informed in detail of the method, are treated in an ambulatory fashion, being hospitalized for 2 h on average, are sent home with an analgesic prescription for 24 h and a phone number to use in case of complications. The authors started this method in January 1996 and have treated six patients so far, aged between 23 and 69. The results, although limited and preliminary, have demonstrated the feasibility of the technique, the very good compliance of the patients, the lack of both immediate and belated complications, and the validity of the method regardless of age.A reassuring fact that has been noticed by examining the forms for pain evaluation is the remarkable reduction of pain after the operation compared with patients treated with the traditional Trabucco technique. This fact may be due both to the better preparation of the patients and to the lower mechanical stimulus from the plug covered with fibrin glue.