Background: Among all external abdominal hernias, inguinal hernia is one most commonly encountered. Factors like chronic cough, constipation, prostatic enlargement etc. contribute to its development. Various defensive mechanisms of the inguinal canal like shutter and slit valve mechanisms help prevent its formation. In this study, a comparison has been made between the morphometric measurements of the anterior abdominal wall in patients with and without inguinal hernia to look for a statistically significant difference which can affect the various protective mechanisms and cause inguinal hernia. Other measurements such as Height, Weight and BMI have been included to look for positive correlations between the disease and said measurements. Methods: This study was conducted in the General Surgery Department of SRM Hospital, Medical College and Research Centre, Kattankulathur after ethics committee clearance. It is a case control study conducted on 108 consenting patients and meeting the inclusion criteria from January 2023 to January 2024, of which 54 each were patients of indirect inguinal hernia and patients without inguinal hernia. Results and conclusions: It can be concluded from this study that factors such as increase in the distance between xiphoid process and pubic tubercle, between ASIS and Pubic tubercle and other related anthropometric variables are Sstatistically significant in predisposing patients to develop inguinal hernia.