Hernia is a common and frequent disease. The etiology is believed to be due to the thinness of the transversal abdominal fascia in the inguinal region of the human body. Currently, the mainstream treatment of inguinal hernia is the use of patch repair surgery, the patient in the choice of surgical methods will be faced with the choice of open surgery and minimally invasive – laparoscopic surgery two kinds of surgical methods. So what is the difference between the two surgical methods, I will give you a brief explanation and illustration of this question. First of all, both surgeries require the use of a patch, which is the common denominator, and the overall statistics on the effectiveness of treating hernias are roughly the same. But there is a big difference between the two in terms of treatment philosophy. Open surgery, the anterior approach, is done openly, with layers of skin and tissue incised to locate and treat the hernia sac, and a patch is used to repair the thin transversal abdominal fascia. The emphasis is on repair, and there are many open surgical approaches that are designed with the idea of greater coverage of the pubic ramus area for the purpose of treating and preventing hernias from occurring, but the actual results are limited. This type of surgery is currently performed under local anesthesia and has a wide range of indications, especially in the elderly and chronically ill. Laparoscopic surgery is a posterior approach surgery, whether it is TAPP or TEP, it is to enter the anterior peritoneal hiatus, and after treating the hernia sac, a 10*14CM patch is used to cover the entire area of the pubic foramen to replace the thin transversal abdominal fascia, with the aim of not only treating the hernia, but also preventing the recurrence or reoccurrence of the hernia completely. Since the patch is mostly three-dimensional anatomical structure, the postoperative comfort is very good and the foreign body sensation is very low. Theoretically, laparoscopic surgical hernia repair can reduce recurrence to 0. Laparoscopic surgery also has the disadvantage that larger hernias are prone to fluid accumulation after surgery due to the emptiness of the defective area, but there is no need to worry about it, as most of the time this will be absorbed on its own, it is just more likely to occur in comparison to an open surgery because the surgery is a posterior approach to transversus abdominis fascia replacement therapy, which doesn’t need to pay attention to the weakened area. The two methods, one is repair, one is replacement, each has its own advantages and characteristics, although both are using the patch, but the patch form and the principle of the purpose of the use of the patch is still different, the implementation of each patient in the choice of surgical methods, one is based on their own condition, and the other is based on the degree of proficiency in the two surgical procedures by the physician you are seeking treatment, it is a bidirectional choice.