The purpose of this study is to evaluate the effectiveness of anatomical repair versus meshplasty in the treatment of para umbilical hernias. Materials and Methods: A total of sixty patients who visited surgery outpatient department with a pre-op clinical evaluation diagnostic of an uncomplicated para umbilical hernia with a defect of less than three centimeters were included in the research. Participants had to have a diagnosis of para umbilical hernia with a defect of at least 3 centimeters, be willing to provide permission for the research, be in the age range of 18-65 years, and be of both sexes in order to be included in the study. Patients were evaluated based on their medical histories as well as their physical examinations, which included a complete blood count, ultrasound of the abdomen, urine analysis, electrocardiogram, and chest x-ray. After the first evaluation, the patient was prepped for surgery and then transported away to undergo anesthesia once they were ready. Patients were split into two groups, each consisting of thirty people, using a procedure called systematic random sampling. Results: When we compared the post-operative pain experienced by patients who had meshplasty with that experienced by patients who had anatomical repair for para-umbilical hernia, we found that the patients who had meshplasty had a significantly lower mean pain score over the course of the post-operative pain assessment. Patients who had meshplasty had much less pain during the course of the study's first eight, sixteen, twenty-four, forty-eight, seventy-second, ninety-sixth, and one hundred twenty-second hours. After doing an analysis of the surgical site infections and complications such as seroma and hematoma, we discovered that there was no significant difference in the distribution of these conditions between the two groups of therapy. Nonetheless, the frequency of SSI, seroma, and hematoma was present in 10% of the patients who had anatomical repair as opposed to the patients who underwent meshplaty. Anatomical repair patients had a significantly longer length of hospital stay (6.36±0.87 days) compared to meshplasty patients (5.77±0.69 days), as determined by an evaluation of total hospital stays for both groups of patients