Due to the lack of awareness and many misconceptions about hernia disease in many patients, timely diagnosis and treatment has long been impossible. We summarize the misconceptions and lessons learned about hernia treatment by many patients seen in the clinic to help community physicians better answer patients’ questions, raise awareness, and eliminate patients’ concerns in their clinical work. These misconceptions of patients include: Firstly, they adopt an indifferent attitude towards hernia and are not actively treated. Many patients think that a hernia is not painful and does not delay eating or drinking and does not need treatment, not knowing that as the disease lengthens the hernia will also get bigger and bigger, and if the broken clothes are not repaired in time, the hole will only get bigger and bigger. Once the hernia is ingrown, it will be life-threatening and most of them need emergency surgery, and the risk of emergency surgery will be greatly increased, so surgery should be performed as early as possible. Secondly, they do not know the regular treatment methods, are misled by many false advertisements circulating in the society, or hope that conservative treatment is effective. Conservative treatment can only temporarily relieve the symptoms, and no medicine or hernia belt can cure the hernia. Many patients who fail to treat their hernia with injections spend a lot of money and are not covered by medical insurance, and they can cause anatomical confusion at the surgical site, making surgery difficult. A hernia is a physical defect in the abdominal wall and surgery is the only way to treat a hernia. Thirdly, they are afraid of surgery, anesthesia, trouble for their children, being bedridden after surgery and having no one to stay and take care of them, etc. Most hernia patients have never had surgery in their life and have fear of surgery. However, surgery is the main treatment method for hernia in modern medicine. Although surgery is an invasive treatment, most of the surgeries nowadays are minimally invasive methods under local anesthesia, and the incision is only 3-4 cm, so the damage is very small, recovery is fast, no catheterization and fasting are needed, and the patient can be discharged one day after surgery, and even “day surgery” can be achieved. The fourth fear of recurrence, modern tension-free hernia repair, compared with traditional hernia repair recurrence rate is significantly reduced, from more than 10% in the past to less than 1%. Modern hernia surgery is developing rapidly, and there are more than ten new minimally invasive surgical methods, and hernia specialists are able to choose more reasonable surgical methods according to patients’ different conditions, and the recurrence rate after surgery is also lower. Fifthly, there is a fear of foreign body reaction. Modern tension-free hernia repair uses synthetic organic materials to repair defects in the abdominal wall, so there is a common concern among hernia patients as to whether this material will be harmful to the body. The repair material used now is mainly high purity polypropylene material, which is very inert, not easily chemically reactive with tissue, and has good histocompatibility and has been used in humans for more than 50 years. The sixth fear of spending money is that hernia mostly occurs in the elderly, when most of the patients are already retired and have reduced income, and some repair materials were not reimbursed in the past. However, there are many kinds of materials used for hernia repair, and the cheap ones only cost a few hundred yuan, which is completely acceptable to most patients, and the patches used for inguinal hernia surgery are now fully reimbursed for most Medicare patients. Some elderly patients are reluctant to inform their families and seek medical advice because the inguinal hernia mass appears near their external genitalia, and they suffer in silence. It is only when an incarcerated hernia occurs that they have to go to the emergency room, which is not only more painful but also has a higher risk of surgery and failure. Surgery is the only effective treatment for hernia, and modern tension-free hernia repair is a minimally invasive and safe treatment method. Both hernia patients and primary care community physicians should pay attention to hernia and get out of the misunderstanding. Community doctors who encounter hernia patients at work should try to let patients know the new concepts, technologies and methods of modern medical understanding and treatment of hernia, and advise them to receive formal treatment as early as possible, and should recommend them to receive further consultation and treatment from hernia specialists so as to get the best treatment effect and maximize patient satisfaction.