The 92-year-old Xu Bo is in good health, very outgoing personality, although some old age diseases, but also considered cheerful and robust elderly people. However, in the last 2 years, Xu Bo has become introverted, sparing communication with others, even the door rarely out, at first the family did not think, but then the old man’s temperament but also seems to have become strange. At this point, the family learned after repeated inquiries, the original old man a few years ago found a bulge in the groin area, but because of the location of the problem is too shy to talk to others, the last two years the bulge has developed into the size of an egg, so that the old man extremely inconvenient movement, accompanied by discomfort, the old man became inferior to go out. The family immediately took Uncle Xu to several hospitals in Guangzhou and learned that the old man had a hernia. The family was very happy to hear that it was minimally invasive, but then they learned that general anesthesia was needed and hesitated in view of the old man’s physical condition. After several changes, the old man came to Guangdong Provincial People’s Hospital for general surgery and found Dr. Hu Shixiong. The family expressed their desire for minimally invasive surgery and their concern about the risk of general anesthesia. After knowing the concerns of the patient and family, Hu Shixiong explained that the surgery was performed using local anesthesia, and the entire perioperative period could be eaten normally, because it was local anesthesia, and there was no need for catheterization, so the impact on the body was almost negligible compared to traditional anesthesia. Under the guidance of Hu Shixiong, the family finally let go of their psychological burden. A week later, Hu Shixiong operated on Uncle Xu, and the old man was discharged the day after the operation. Hu Shixiong introduced that many people now have certain misconceptions about minimally invasive surgery, thinking that lumpectomy is minimally invasive surgery, but in fact, there are certain criteria for measuring minimally invasive. First of all, it depends on the trauma caused by the surgery. Hernia surgery is a relatively small surgery and can be performed completely under local anesthesia, and if the lumpectomy is performed rigidly with general anesthesia on older elderly people, it will be more harmful to the body; secondly, it depends on the recovery of the surgery. Thirdly, the appearance of the incision, local anesthesia is a 4~5 cm incision in the groin area, while lumpectomy requires three small incisions. Of course, lumpectomy has its own scope of adaptation, for example, young people who need quick recovery, such as recurrent hernia, bilateral hernia, etc. are some of the advantages. For the elderly in general, who have more underlying diseases and less ability to tolerate general and lumbar anesthesia, local anesthesia surgery has a greater advantage.