Aim: To compare the Efficacy of Diathermy compared to Scalpel in patients undergoing Elective inguinal hernia surgeries. Methods: This is a prospective study on 64 patients who are all admitted in MMCH in General Surgery Department at Muzaffarnagar, Uttar Pradesh from March 2018 to February 2019 to undergo Mesh hernioplasty. All patients are randomized into two groups according to which they undergo skin incision either by Scalpel or Diathermy. The variable taken into account for this study are incision time, incision related blood loss, post–operative wound complications and the results were analysed. Results: Patients who had incision by diathermy have shorter incision time and less incision related blood loss and there is no statistical difference in the post–operative wound complications. Conclusions: Based on the finding of our study, we recommend that the electro cautery device may be accepted as an alternative modality used for surgical skin incisions.