Which is safer for the elderly hernia minimally invasive or open surgery can not be generalized, each has its own good and bad, it needs to depend on the patient’s physical condition. Hernia minimally invasive surgery refers to laparoscopic surgery, if the elderly physical fitness is relatively good, and bilateral hernia, then choose laparoscopic surgery is better, laparoscopy can be completed at a time the treatment of both sides, while the incision is small, there is no greater damage to the body, postoperative recovery fast. However, laparoscopic surgery is general anesthesia, the patient’s cardiopulmonary function requirements are higher, so if the elderly patients cardiopulmonary function is not good, it is not recommended to choose minimally invasive surgery. If the patient’s physical condition is worse, and at the same time older, and hernia symptoms are more serious, then suitable for open surgery. Because open surgery can use local anesthesia, lumbar anesthesia, the risk is lower, at the same time open surgery can be applied hernia patch, can do tension-free repair, postoperative recovery is also better. However, open surgery is more invasive than minimally invasive, and the elderly are physically weak, the recovery time may be longer. It is recommended that the patient go to the general surgery department of a regular hospital, and the doctor will choose a suitable surgical method for the patient according to the specific situation.