Patient Question: Disease:Boy 16 years old. Has had hernia for 10 years with mild symptomsDescription:Boy 16 years old. Has had an inguinal hernia for almost 10 years. No pain. After exercise in the thigh and abdominal joint there is a lump of egg, lying down with the hand to push it disappeared. Help wanted: What treatment is needed? Should I follow the surgical method for adults or for children? Will there be any after-effects? Department of Hospital: A certain hospital Surgery Reply: The history of inguinal hernia has been 10 years, the principle of treatment is definitely surgical treatment, but we will discuss with the parents about the surgical method. For adult hernias (the adult standard is 18 years old), the surgical method is to use a patch for tension-free repair. For children, the surgical method is to ligate the hernia sac high up in the air without the use of a patch because children will grow and develop further in the future, and most of the tissues will not need to be repaired by a patch when they are strong and healthy. However, the age of adolescents (tentatively categorized as 12-17 years old) is a bit awkward, i.e., they are not adults but are physically developing towards adulthood, so neither the adult nor the pediatric surgical options are appropriate for adolescents. In the past, the textbook was to do tension repair without patching, but the postoperative pain was significant, interfering with the adolescent’s activities and physical activity, and the recurrence rate in the future was high. Therefore, more and more surgeons are now using biopatch for tension-free repair, which avoids pain and does not interfere with activities, and the biopatch does not interfere with further development as synthetic patches do. Inguinal hernia surgery is not too big, less impact on fertility, infection and other sequelae occur, the operation is less than an hour, hospitalization 3-4 days, that is, the biological patch is more expensive, but also does not enter the health insurance, it is recommended to do the operation during the winter vacation. This article is not authorized please do not reproduce.