I’ve been seeing outpatients lately and I always have patients asking me if they can have minimally invasive treatments, and I’m wondering what exactly minimally invasive treatments refer to. Is it treatment without surgery or is it laparoscopic surgery? What is minimally invasive surgery? Minimally invasive surgery can be understood as a concept or a technique that should contain the following 3 aspects, the shortest operation time, the smallest impact on the organism, and the fastest recovery for the patient. In order to promote laparoscopy, many hospitals have set up minimally invasive surgery, which is actually laparoscopic surgery. Laparoscopic surgery is not exactly the same as minimally invasive surgery. For inguinal hernia surgery in terms of laparoscopic surgery is the use of laparoscopic technology for posterior approach to repair a way, rather than minimally invasive surgery, can be said to be a cosmetic surgery. With the popularity of laparoscopy, minimally invasive surgery will be gradually refined to include various specialized departments. Like surgical oncology, microsurgery will gradually disappear. First, the advantages and disadvantages of laparoscopy for the treatment of hernia 1, Advantages Intuitive, for compound hernia is not easy to miss, small incision, beautiful, short pain time after surgery 2, Disadvantages Laparoscopy generally requires general anesthesia, general anesthesia and pneumoperitoneum on the elderly patients have a greater impact, and the need for special instruments, use of large patches, large separation range, trauma, high cost. Second, the advantages and disadvantages of open surgery 1, Advantages Flexible anesthesia methods can be local anesthesia, epidural or general anesthesia, mostly choose local anesthesia, the minimum impact on the body, can be suture repair, can be applied to the mesh for different levels of repair, low cost. 2, Disadvantages The incision is larger, usually 5~6cm, and the pain time after surgery is a little longer. There is no difference between the two long-term therapeutic effects. Third, how to choose 1, for young, good cardiopulmonary function, especially those who have cosmetic requirements can choose laparoscopy, for bilateral hernia laparoscopy has obvious advantages. 2, for the older, poor cardiopulmonary function, it is best to choose local anesthesia under open surgery. 3, for recurrence of the person to choose according to the last surgical method. 4. The skill of the surgeon is very important. 5, for huge hernia does not advocate laparoscopic surgery, unless the doctor’s skills are very high The patient should fully understand their own physical state and discuss with the doctor to make a reasonable choice, do not be misled by minimally invasive, suitable for their own is the best, the most should not accept the so-called minimally invasive injection hernia treatment method, the recent revision of the guidelines for the treatment of hernia, it is clearly pointed out that this method should be discarded.