Many people are aware of the dangers of inguinal hernia, but the dangers of umbilical hernia are not small either, especially in adults. Because of the ineffectiveness of non-surgical treatments for umbilical hernias in adults, and because the contents of umbilical hernias contain mostly small intestine, transverse colon and large omentum, they can easily form irreversible hernias due to adhesions and even acute intussusception. This elderly woman was admitted to the hernia surgery department as an emergency after an incipient umbilical hernia was not operated on in time 5 years ago. After admission, the medical staff of the hernia surgery department successfully completed the repair of her huge umbilical hernia with the use of minimally invasive laparoscopic techniques. The old lady was able to move around on the ground 2 days after the operation …… Although the old lady recovered well, she still has an important follow-up work to be done persistently: losing weight to prevent further weight gain, otherwise, the repaired umbilical hernia will recur!