The surgical procedure is chosen according to the patient’s condition and the recurrence of the hernia. Inguinal hernia is a hernia formed by the protrusion of intra-abdominal organs through a defect in the inguinal region to the body surface, in which the gap is the hernia ring opening, and organs such as small intestine will bulge out from the hernia ring opening when the abdominal pressure rises due to coughing, strenuous exercise or forceful defecation, so the hernia must be covered and repaired with hernia repair material, referred to as hernia patch, for the hernia to be cured. Currently, there are three types of minimally invasive laparoscopic techniques for the treatment of adult inguinal hernia: intraperitoneal patch implantation (IPOM), transabdominal preperitoneal repair (TAPP), and complete extraperitoneal repair (TEP). Among them, intraperitoneal patch implantation (IPOM) involves laparoscopic access to the abdominal wall and peritoneum through the incision around the navel to reach the area around the hernia ring opening and repair the ring directly in the abdominal cavity using a patch. Transabdominal pre-peritoneal repair (TAPP) is performed by using a laparoscope to enter the abdominal wall and peritoneum through an incision around the belly button, to reach the area around the hernia ring, and to open the peritoneum there, place the patch directly on the abdominal wall, and suture the peritoneum there. Complete extraperitoneal repair (TEP) involves laparoscopic access to the abdominal wall through the incision around the navel without opening the peritoneum and placing the patch directly on the abdominal wall. (See the chart below for the three surgical procedures.) How are these procedures chosen? In general, for adults with short inguinal hernia onset, small hernias, no previous surgery on the abdominal wall, and relatively good health, complete extraperitoneal repair (TEP) is recommended, which is safe as the laparoscope does not enter the abdominal cavity and does not harm other organs inside the abdominal cavity. Transabdominal pre-peritoneal repair (TAPP), on the other hand, is indicated for recurrent hernias. After open surgery, the patient’s “outside-in” access is scarred and the anatomical landmarks are unclear, which increases the probability of side effects of reopening surgery, whereas the TAPP procedure is “inside-out”, effectively avoiding the scar of open surgery and allowing the patch to be flattened as much as possible. The TAPP procedure is “inside-out”, effectively avoiding the open surgical scar and allowing the patch to be spread out as much as possible, thus greatly reducing the recurrence rate. The intraperitoneal patch implantation (IPOM) is indicated for patients who have undergone multiple hernia surgeries. The choice of surgical approach is not absolute and requires a combination of factors, with different treatment plans depending on the patient and the condition. There are various types of patches and the decision of which one to use needs to be made intraoperatively. There are four main types of patches currently used clinically for inguinal hernia repair (see figure). The first is a self-fixing patch, which has a barb structure on one side of the patch. After repairing the hernia ring, the barb of the patch will stick to the tissue and will be absorbed by the tissue in about 2 weeks, which is very comfortable for the patient. The second type is 3D patch. The normal abdominal wall is not flat and has curvature on the surface. 3D patch design is derived from the normal abdominal wall structure, which is in line with the principle of human engineering mechanics, and the recurrence rate of hernia will be lower when using this patch for repair. The third type is the lightweight large mesh patch, which has a large mesh and is suitable for people who feel more sensitive compared to the previous knitted dense patch. The fourth type is a partially absorbable patch, in which the blue area is the absorbable component, which can ensure the repair effect while minimizing the polyethylene left in the body. Clinically, the choice of patch depends on the needs of the patient and the severity of the condition, so it is usually difficult to determine which patch to use before surgery. Postoperative rehabilitation should also be tailored to the patient’s needs. Some postoperative patients have a lump in the groin, mistaking it for a recurrence of hernia, but in fact, the lump is formed because of local fluid accumulation due to surgical operation. So what are the postoperative rehabilitation measures? Patients should use sandbags to compress the wound for 4-6 hours after surgery, which can not only effectively stop bleeding, but also reduce the appearance of local fluid accumulation. In addition, some patients can wear tight underwear with a small hand towel inside to compress the groin area, which can also effectively reduce the appearance of fluid in the groin area. For patients with large hernias, such as those that fall into the scrotum and cannot be easily retracted, they can choose to wear elastic pants, which are based on the same principle as elastic stockings and have a very good compression effect, and also squeeze the scrotum so that the fluid does not flow into the scrotum and reduce the local fluid accumulation. Therefore, for adult patients with inguinal hernia, “tailoring” means choosing the surgical procedure and the type of patch according to the patient’s condition and individual needs, as well as doing a good job of postoperative rehabilitation so that the effect of minimally invasive laparoscopic techniques for inguinal hernia can be maximized.