Q: Is it possible to have a hernia in patients with cirrhosis with ascites? Cirrhosis with ascites is an important factor that causes and aggravates hernia, which can induce inguinal hernia and umbilical hernia, etc. And surgery is the only way to solve hernia, so the answer is yes. Surgery can be done. However, the risk of surgery is relatively high and the recurrence rate after surgery is also high. It must be necessary to grasp the timing of surgery and create certain favorable conditions for surgery. Q: Under what circumstances can a patient with cirrhosis and ascites have a hernia? A. The liver function is basically or close to normal, usually by adjusting so that the glutathione transaminase is within 100. No jaundice or only slight jaundice, albumin >30g/L; Second, there should not be a large amount of ascites, a small amount of ascites is acceptable; Third, platelets are above 50×10^9/L, so that the bleeding risk of surgery is relatively small. Q: Can patients with cirrhosis and ascites undergo laparoscopic patch repair surgery? According to the preoperative assessment of ASA grade 1-2, laparoscopic hernia patch repair can be considered for patients who can tolerate general anesthesia according to the wishes of the patient and family and the operator’s habits after correction of liver function, ascites and platelets, with the key points being control of pneumoperitoneal pressure, skilled operation, complete hemostasis, tight closure of the peritoneum and placement of pelvic drainage tube if necessary. Of course, even as mentioned above, the surgical risks in patients with cirrhotic ascites are still high. Poor liver function, ascites affecting wound healing, reduced white blood cells due to hypersplenism secondary to cirrhosis, susceptibility to infection, and the persistence of ascites in the future leading to chronic increased abdominal pressure, which can easily lead to recurrence of hernia, are all issues that deserve careful consideration.