In our clinical work, we often come across some eighty to ninety year old patients with inguinal hernia, the first thing they say when they meet is: “I am old, my health is not good, so I hope to do minimally invasive surgery”. Obviously, they don’t have a very good understanding of what minimally invasive hernia repair is really like. So we often have to spend more effort to explain to them whether minimally invasive hernia repair is suitable for them or not. The minimally invasive hernia repair that we usually refer to is a hernia repair that is done laparoscopically. With laparoscopic technology, we only need to make three small holes of 0.5~30px in the abdominal wall to complete the whole operation, even for bilateral hernia, no additional incision is needed. Since the surgery does not require too much separation of the spermatic cord, there is less damage to the spermatic cord. However, because laparoscopic surgery requires the injection of gas to create space, general anesthesia is necessary to perform the procedure. These two basic conditions, general anesthesia and pneumoperitoneum, place high demands on the cardiopulmonary function of the surgical patient. We do not recommend laparoscopic hernia repair for elderly patients if they have moderate to severe cardiopulmonary dysfunction during the preoperative examination. So which patients are suitable for laparoscopic hernia repair: 1. Patients with bilateral hernia and recurrent hernia or those who cannot exclude contralateral hidden hernia before operation. 2. 2. Elderly patients who are not too old or do not have serious cardiopulmonary diseases and want to return to normal work and life as soon as possible after the operation. 3. Patients who have high demands on appearance and want the incision to be as beautiful as possible. The above 3 types of patients can prefer laparoscopic minimally invasive surgery. In fact, for those patients with poor physical condition, many underlying diseases and high risk of surgery, we can use half anesthesia or even local anesthesia, as fine as possible surgical operation, placing appropriate repair materials, and ultimately achieve the ideal treatment effect. Is this not another form of minimally invasive surgery? For those patients who fall in between the two scenarios, they can choose between open or laparoscopic surgery according to their needs and with reference to their doctor’s advice. After all, there is no difference in cost and outcome between the two procedures.