Background: Garengeot's hernia is a rare presentation of a femoral hernia.Rarely, a Garengeot's hernia is managed laparoscopically. Case report:We report a case of a 66 year-old male presented with an incarcerated groin hernia at the emergency department.He was taken in to laparoscopic hernia repair, with TAPP approach finding a right hernia femoral defect of 4 cm from which cecal appendix was reduced, in a suppurative phase.Discussion: This is the fourth case reported in the literature.A Garengot's hernia can be managed laparoscopically.TAPP technique allows reducing the herniated appendix, repairing the hernia defect, determining the contamination of the abdominal cavity and the use of a mesh in the primary hernia repair. Journal of Surgery: Open AccessOpen Access Journal placement of intra-abdominal drains in complicated acute appendicitis may not present benefits and may even lengthen hospital stay [5]. ConclusionLaparoscopy with TAPP approach is an excellent alternative that diagnoses, evaluates the abdominal cavity and resolves the inflammatory condition (acute appendicitis) and femoral hernia at the same time.