Objective. to improve the results of treatment patients with bilateral inguinal hernias through the development and introduction into clinical practice the original method of laparoscopic hernia repair. Materials and methods. Analyzed results of treatment 84 patients with bilateral inguinal hernias, which examined and treated at clinical sites of the Department of Surgery named after I. I. Grekov from 2010 to 2016 years. Retrospectively analyzed the results of 51 cases of surgical treatment patients with bilateral inguinal hernias, who underwent laparoscopic separate bilateral prosthetic hernioplasty in period from 2010 to 2013. In retrospective (II) group included patients younger, middle and older age groups, and the average age of the patients was 47.7±8.4 years. According to prevalence, representatives of the male (46 patients — 90%) dominated. Results. In a prospective (I) group with using differential algorithm 33 patients operated: on 14 patients with bilateral inguinal hernia with the presence of high risk of recurrence and the formation the supravesical hernia operation performed with using a single total prosthesis, and to 19 patients with a low risk of recurrence — performed separate prosthetic laparoscopic hernia repair. Duration of operations in I and II groups was 29.3±64.55 and 58.6±17.5 minutes, respectively. Large majority of patients in both groups were in the hospital for 2 to 4 days after surgery. For the duration of postoperative hospital stay days, the need for analgesia, duration of surgery, both groups were comparable. In the prospective group early postoperative complications was not observe, in retrospective group were 3 cases of non-specific complications, which required a longer post-operative treatment in the hospital and successfully resolved. Inspection of patients in prospective group conducted in the late postoperative period with using a standardized protocol through the use of ultrasound. In neither case showed no recurrence and form previously unavailable supravesical hernias. Conclusion. When planning a prosthetic laparoscopic hernia repair in patients with bilateral inguinal hernia is necessary to carry out a differential approach to the choice of surgical technique. If there is a high risk of recurrence and the formation supravesical hernias postoperatively — indicate preperitoneal laparoscopic hernia repair with total single prosthesis of supravesical, inguinal and femoral regions. In other cases, the method of choice is a laparoscopic separate prosthetic hernia repair to the two sides. The proposed diagnostic and treatment algorithm allows significantly (p<0.05) to minimize the recurrence rate and the formation of supravesical hernias after endovideosurgical treatment of patients with bilateral inguinal hernias.