First, the older you are, the greater the risk of surgery. At the beginning of the hernia, the symptoms are not serious, but with the prolongation of the course of the disease, a variety of symptoms will gradually appear, the quality of life and health gradually aggravated, the patient will then have a sense of self, will feel that this time “can not be delayed”. This process can be short or long, from a few months and half a year to three, four or even five years. However, in old age, especially in old age, the body is not as good as it used to be. Because of the original heart disease, diabetes and other problems, there is already a certain risk of surgery, but the indicators are still barely qualified; but if you keep delaying, in fact, every year of delay sometimes the risk of surgery is exponentially increased, and when you want to operate, many of the indicators have failed, why bother? The difference in surgical risk between a relatively young patient, such as a 45 year old and a 50 year old, is not that great, but the difference in surgical risk between a 75 year old and an 80 year old, which is also only a 5 year difference, is significant. Surgical risk does not decrease with age, so in order to avoid increasing surgical risk, we always kindly remind our elderly patients that it is better to have surgery as early as possible when they have a hernia. Second, the older you get, the faster your hernia develops. We often draw an analogy with our patients: a hernia in a young adult is like a hole in a pair of jeans, and because the denim itself is sturdy, the hole won’t get bigger easily. But when an older person gets a hernia, it’s like a hole in a pair of cotton wool pants that you’ve been wearing for years. Because the fabric of the cotton wool pants is already very thin and brittle, a small hole can quickly become a big hole. When you have a hole in your clothes, we all know that the smaller the hole, the easier it is to mend, and the less likely it is to break again after it is mended. The same applies to hernia holes in the body. When they are small, it is easy for the doctor to deal with them, but when they get bigger, they can be dealt with, but it is more difficult to patch them up, and they may not be secure enough, and the rate of recurrence in the future will be correspondingly higher. Therefore, in order to reduce the recurrence rate, we will continue to kindly remind elderly patients that it is better to operate as early as possible when they have a hernia. Thirdly, the older the patient is, the more serious the consequences will be in the event of acute complications. There is also a 3-5% chance of an acute complication of a hernia, which is medically known as “incarceration”, or “stuck small bowel” as the common saying goes. Once the intestinal tube is stuck in the hernia hole, it will soon show up as intestinal obstruction (because there is only one pathway in the human digestive tract), and at the same time, the intestinal tube, because of being stuck, the blood supply will be impaired, and usually after 6-8 hours, the intestinal tube will be ischemic necrosis, and ultimately perforation peritonitis, which will lead to the death of the patient. In elderly patients, intestinal necrosis usually occurs earlier after the occurrence of entrapment due to poor blood circulation and poor physical fitness. After intussusception, it is necessary to scramble for immediate emergency surgery, at this time there is no time to conduct a comprehensive assessment of the body, not to mention the time to adjust the cardiovascular, blood glucose and many other indicators. Therefore, after surgery for incarceration in elderly patients, not only the intestinal tube and abdominal cavity, the probability of the patient’s heart, lungs, liver, kidney, brain and diabetes and other complications is not low. Therefore, we often tell hernia patients that having an inguinal hernia is like carrying an untimely bomb, and no one knows which day it will explode. Therefore, in order to avoid acute incarceration as well as various complications after incarceration, we would like to kindly remind elderly patients that it is better to operate as soon as possible when they have a hernia. Older people have a higher incidence of hernias, and the older they get, the higher the incidence. The older they get, the greater the risk of surgery, and the more they fear it. However, most hernia surgeries, especially the most common inguinal hernia surgery, is only a minor surgery in the surgical field, as long as there is no serious systemic disease, the vast majority of people can tolerate the surgery, and we have done a lot of ninety years old people, the key to elderly patients is to do a good job of pre-operative evaluation and intra-operative and post-operative management. Now that people are living longer and want to have a better quality of life, avoiding surgery with a hernia in your body definitely affects your quality of life.