A number of patients and even general surgeons are bothered by the choice of laparoscopy for various procedures, for example, in the choice of surgical modality for hernia repair, which does seem to be a problem. We believe that hernia repair is performed using either open or laparoscopic, both of which have their own advantages and disadvantages: 1. Laparoscopic surgery: small incision, aesthetic and fast recovery, but there are three small incisions, and the location of multiple hernias as well as occult and early onset hernias can be seen early intraoperatively and are not easily missed; general anesthesia is required, with less risk and shorter recovery time; because of the small incision, there is no large incision as in traditional open surgery and the tendon membrane of the abdominal wall The postoperative abdominal wall strength is good, and the recurrence rate is theoretically lower than that of open surgery, and the posterior abdominal wall repair strength is better than that of the traditional transverse abdominal fascia repair; the postoperative patient’s abdominal wall foreign body sensation and long-term chronic pain is significantly better than that of open surgery; the key point of minimally invasive is the trauma to the abdominal wall and spermatic cord in the inguinal region, and on this point open surgery is much more traumatic than laparoscopic surgery, and the probability of nerve injury is much higher than that of laparoscopic surgery. The probability of nerve damage is much higher than in laparoscopic surgery (which is also the most important cause of pain). For bilateral hernias and recurrent hernias after open surgery, laparoscopy is more suitable. Disadvantages: high cost, inappropriate for the elderly and poor cardiopulmonary function. 2. The open approach has local anesthesia and different anesthesia methods such as lumbar anesthesia and general anesthesia for repair surgery. The incision is relatively long and the recovery time is relatively slow; from the socio-economic point of view, the recovery time for such surgery is far inferior to that of minimally invasive surgery (after all, there is no artificial destruction of the abdominal wall, just a hole. Regardless of the surgical modality, it is constantly overcoming its own shortcomings and improving. Currently, more and more open hernia repairs under local anesthesia are performed with smaller incisions and fewer sutures in the preperitoneal repair, further overcoming the shortcomings. The laparoscope places and fixes the patch under direct vision in front of the peritoneum, something that open preperitoneal surgery cannot do. It is true that laparoscopy does not equal absolute minimally invasive, but laparoscopic surgery does have its advantages, and the advantages of local anesthesia over laparoscopy lie in anesthesia and cost, not in surgical trauma. In fact, open surgery and laparoscopic surgery have their own advantages and disadvantages, and different surgical options are available for different cases of hernias. For patients with both open and lumpectomy, it is better to explain the advantages and disadvantages to the patient and let the patient choose for himself.