Hernioplasy using mesh is the gold standard throughout the world. Mesh free repair or herniorhapy is done in a few centers but it is obsolete nowadays. Shouldice and bassini repair are done successfully in their respective centers. There ll be no issues in using a mesh for surgery 

Hi in inguinal hernia at this age we recommend mesh repair either open or laparoscopic surgery...U neednt worry abt hw ur body will react to mesh as the meshes are manufactured in such a way that they are compatible with the human body...Why we prefer mesh repair is bcos this mesh helps in reinforcing the defect in your abdominal wall muscles and thereby prevent further hernia...whereas in case of shouldice repair we r using fascia transversalis to reinforce but it may not be that effective without mesh bcos u being toung and inspite of have good muscle tone have acquired inguinal hernia so chances of recurrence without meah is high...So better to go for a mesh repair either by laparoscopy or open method...

Nowadays hardly anyone in good center will do ur case without mesh Don't worry about mesh in this era Complications are part of surgery... I still recommend for mesh of good quality

Recurrence is certain. Without mesh, surgery is useless.