Recently, the Department of Geriatric Surgery received several elderly people in their 70s and 80s who were suffering from inguinal hernia and were treated with sclerotherapy after listening to the false propaganda of some hospitals, spending thousands of dollars. After meticulous preoperative evaluation, the sclerosing agent was removed and a tension-free mesh repair of inguinal hernia was performed under local anesthesia, solving a problem that had plagued the elderly for years. Sclerosing agent injection is usually used clinically for the treatment of hemorrhoids and bleeding esophagogastric varices, and there are many anatomical levels in the inguinal region, so blind sclerosing agent injection is very risky. I would like to advise elderly hernia patients that they should not seek medical help indiscriminately when they have a hernia. Hernia repair under local anesthesia is the appropriate choice and the recurrence rate is low, and hernia in complicated cases such as poor general condition, long-term anticoagulants, super advanced age, recurrent hernia, etc. can also be cured by careful preoperative preparation and delicate surgical treatment.