The case involved a 52-year-old male who underwent renal transplantation in 2005 and, subsequently, axillo-femoral bypass surgery with a vascular prosthesis in 2008. He presented with the complaints of a bulge with pain in the right inguinal region since a month earlier, and the right inguinal hernia was diagnosed. It was shown that the subcutaneous vascular prosthesis was located ventrally and the implanted ureter might run dorsally close to the right inguinal canal based on nonenhanced CT scan. Lichtenstein procedure was selected with a skin incision made parallel to the vascular prosthesis on the caudal site of the inguinal canal. We avoided exposure of the prosthesis, keeping it embedded in the subcutaneous fat tissue. Mild adhesions were seen around the inguinal canal and spermatic cord. The hernia was finally diagnosed as supravesical class II-1 hernia. For the inguinal hernia surgery after kidney transplantation, Lichitenstein operation is considered suitable to avoid an inadvertent injury to the implanted ureter.