Objective To analyze the clinical curative effects of Lichtenstein tension-free tension-free herniorrhaphy treating adult inguinal incarcerated hemia. Methods 85 cases of adult inguinal incarcerated hemia patients admitted and treated in the general surgery department in our hospital were divided into contrast group (n=42) and observation group (n=43) according to the different methods of surgeries that they had been given. Patients in the contrast group were given traditional herniorrhaphy (Bassini), while patients in the observation group were given tension-free hemioplasty (Lichtenstein). Compare the clinical curative effects as well as the complications occurrence condition between both groups. Results After surgery, the total effective rate in the contrast group 80.0% was significantly lower than the contrast group 97.6%. The patients’ non-restricted activity time and length of hospital stay for recovery were significantly shorter than observation group. After follow-up visit the patients for 6 months, the relapse rate was 9.5% and the total occurrence rate of complications was 26.1%. In the observation group, no case was relapsed and the total occurrence rate of complications was 6.9%. The comparison showed significant difference (P<0.05). Conclusion Lichtenstein tension-free herniorrhaphy is proved to be effective in relieving the patients’ clinical symptoms, shorten the length of hospital stay to an extreme and decrease the post-operative relapse occurrence rate as well as complications occurrence rate, with good curative effects. Thus, it deserves to be widely promoted in clinical field.