Since the mid-1990s, the PerFix plug hernioplasty has become one of the mainstays of a surgeon's operative armamentarium. The repair is a technically simple surgical operation, which can be used to treat most groin hernias. To demonstrate the simplicity and effectiveness of the plug technique, a 15-year experience with over 4400 patients is reported. Technical details are presented, including an in-depth discussion concerning PerFix plug preparation and placement.