Mr. Zhang, who lives in Jiangmen City, has had a right inguinal reversible mass protruding for ten years. The mass started to be small and appeared only when standing, working, walking, running, or coughing. Since there was no special discomfort and only occasional localized swelling and involvement pain, it was not treated. With the development of the disease, the lump gradually increased in size and descended from the groin to the scrotum, making it difficult to walk and affecting labor. Mr. Zhang then came to Jiangmen People’s Hospital for treatment and was admitted to the general surgery ward of Jiangmen People’s Hospital. The doctor quickly operated on Mr. Zhang and he was discharged after 3 days after the operation. Inguinal hernia is divided into straight hernia and hiatal hernia, and Mr. Zhang was suffering from inguinal hernia. Inguinal hernia cannot heal on its own except for some infants, and as the hernia mass increases, it will definitely affect the labor and treatment effect, and threaten the patient’s life because it can often become embedded and strangulated. Therefore, except for a few special cases, surgical repair should be performed as soon as possible. In principle, emergency surgery should be performed to prevent necrosis of the intestinal canal in cases of incarcerated hernia. Most inguinal hernias are treated surgically, and the repair method is basically similar to that of hiatal hernia. The surgery performed on Mr. Zhang was a hernia ring-filling tension-free repair, which was first used by Dr. Rutkow in the United States in 1989 to treat inguinal hernia and has been gradually applied in China since 1997. Jiangmen People’s Hospital is one of the first hospitals in Jiangmen to perform this operation and has accumulated rich experience in the operation. The root cause of inguinal hernia formation is the defect of weak structures and transverse abdominal fascia in the inguinal region. The recurrence rate of primary inguinal hernia tension repair is reported to be about 10% and recurrent hernia can be as high as 20%. In contrast, the recurrence rate after tension-free hernia repair is significantly lower, with a recurrence rate of less than 1% for primary hernia and less than 2% for recurrent hernia. The reasons for this are: (1) the normal anatomical site of the tissue remains unchanged after tension-free hernia repair; (2) the physiological tension of the tissue remains unchanged; (3) the conical structure of the conical filling allows intra-abdominal pressure to be dispersed, avoiding the formation of local hypertension; and (4) after implantation of the patch, the tissue is fixed by bonding to the mesh within minutes through the mesh, and contributes to the entry of a large number of fibroblasts into the mesh, thus strengthening the tissue. After tension hernia repair, absolute bed rest for 3 to 4 days, light activity after 3 weeks, and light physical work after 3 months; whereas after tension-free repair, one can get out of bed in 6 hours and resume physical work after 3 weeks. The main cause of pain after tension hernia repair is high ligation of the peritoneal hernia sac with adequate nerve distribution and local high tension; whereas in tension-free hernia repair, high ligation of the hernia sac is not required and local tension is not high, so postoperative pain is not obvious. The pores of the patch are larger than 10 um, which allows free access of polymorphonuclear granulocytes and is not suitable for bacterial hiding, so it has good resistance to infection. The tension-free repair is short, the tissue stripping area is small, and the postoperative pain is light, so there is little postoperative urinary retention and light tissue swelling. Because of the double reinforcement effect of inner ring mouth filling and posterior wall repair, it makes the repair more solid, plus more in line with the physiological anatomy. This procedure should be the preferred treatment for elderly patients with chronic cough, prostate hypertrophy, urinary difficulties, habitual constipation, and combined cardiopulmonary diseases. In conclusion, hernia ring-filled tension-free repair, which does not change the physiological anatomy of the groin, is tension-free for repair, has a simple surgical method, rapid postoperative recovery, very low complication and recurrence rates, significantly reduced local pain after surgery, no local pulling sensation, rapid recovery of autonomy, discharge from bed in 4-6 hours and 2-3 days, and a very low recurrence rate, is the most reasonable procedure for inguinal hernia, especially recurrent hernia.