Purpose: Soft tissue sarcomas (STS) are an uncommon yet significant differential diagnosis for patients presenting with an inguinal mass. When STS is suspected, consensus guidelines recommend referral to a specialist sarcoma service for en-bloc resection with involved contiguous structures. The aim of this study was to assess the management and analyse the impact of surgical factors on disease-free survival (DFS) and disease-specific survival (DSS). Methodology: The Queensland Oncology Repository (QOR) database was used to identify adult patients diagnosed with primary inguinal STS between 2012 and 2022. Survival analysis was performed using log rank test. Results: Among the 50 patients included: 42 (84%) were male; median age was 70 years (range 21 to 93 years); 34 (68%) were well-differentiated liposarcomas; 30 (60%) arose from the spermatic cord and 43 (86%) were greater than 5cm. Only 13 (26%) of patients had their index operation performed at a high-volume specialist sarcoma centre. Initial surgical technique was; radical orchidectomy 27 (54%); wide local excision 11 (22%) and limited or piecemeal excision 9 (18%). Incomplete macroscopic resection (R2) occurred in 12 (24%) cases. All but one of these patients proceeded to a radical re-resection. Overall, five-year DFS was 80% and five-year DSS was 95%. After radical re-resection was performed, there was no difference in DFS (p=0.3) or DSS (p=0.9). Conclusion: Inguinal STS may be unrecognised pre-operatively leading to management which fails to meet international standards, incomplete macroscopic resection and further surgery. However, once radical re-resection was performed we found no detrimental impact on recurrence or DSS.