Inguinal hernia repair is also one of the most common surgical procedures, with approximately 20 million inguinal hernia surgeries currently performed worldwide each year. After centuries of efforts by many surgeons, it was not until the end of the nineteenth century that modern hernia surgical treatment was really established. With the deepening of the understanding of the pathophysiological process of hernia formation, the tension-free hernia repair procedure, represented by the Lichtenstein procedure, began to take shape in the 1980s. With the development of minimally invasive techniques, lumpectomy was gradually applied in the field of hernia and abdominal wall surgery. In the context of a large body of evidence-based medicine, the EAES Consensus on the operation of lumpectomy hernia surgery was developed by several experts in the field during the annual meeting of the European Association of Endoscopic Surgery (EAES) in 2012, with the aim of providing a reference for the clinical practice of physicians in this specialty. The aim is to provide a reference for clinical practice for physicians in this specialty. The editorial excerpts some of the key contents of this consensus for joint study and improvement. 1. Occasional heavy lifting, constipation and prostatic pathology are not predisposing factors for inguinal hernia and clinical evidence is lacking. 2. Patients with aneurysms have a significantly increased risk of inguinal hernia. 3, Patients with typical inguinal hernia symptoms do not need to undergo imaging to confirm the diagnosis. 4, When inguinal hernia is highly suspected but the clinical presentation is atypical, ultrasound dynamic observation is preferred, followed by dynamic MRI. 5, Both ultrasound and MR have high sensitivity and specificity for occult inguinal hernia and have replaced hernial saccography as an effective method to confirm the diagnosis. 6. Physical examination methods cannot completely and accurately distinguish between inguinal hernia and hiatal hernia. 7. CT can also be used as an auxiliary method to diagnose inguinal hernia. 8. It is recommended to choose lumpectomy for patients with recurrent hernia after open repair (highly recommended). 9. The lumpectomy hernia repair should be performed by a physician with extensive experience in lumpectomy. 10. It is highly recommended to perform lumpectomy in patients with bilateral inguinal hernia. 11. There is no evidence to suggest which procedure is more advantageous for bilateral inguinal hernia repair, TEP or TAPP. 12, When lumpectomy is performed to repair an inguinal hernia on one side, if a cryptic hernia is found on the contralateral side, it should be repaired at the same time. 13, Prophylactic patch repair is not recommended in the absence of significant inguinal hernia manifestations on the contralateral side. 14. Cavernous hernia repair should be performed by a surgeon with extensive experience in the following complications, including post radical prostatectomy, post cystectomy, hernia into the scrotum, ascites, recurrent patients who have previously undergone posterior approach patch repair, and peritoneal dialysis. 15. Cavernous repair is recommended for young patients with inguinal hernia. 16, In young patients aged 14-18 years, lumpectomy is appropriate. 17, Lumpectomy is recommended for patients with femoral hernia. 18, For inguinal hernia that is embedded and not retractable, emergency surgery should be performed and lumpectomy repair is an option. 19, When lumpectomy is chosen, the abdominal wall defect can be examined during either TAPP or TEP. 20, In clean-contaminated situations (e.g., bowel resection), repair with a patch may be considered. 21, Diagnostic laparoscopy is feasible in cases of suspected strangulated hernia. Sportman’s hernia (omitted) 24, There is no evidence to support the routine use of antibiotics in elective luminal hernia repair. 25, Patch coverage should be large enough, which is more important than patch fixation. 26, The patch applied for TEP and TAPP procedures should be at least 15*25 cm. 28, In huge direct inguinal hernias against the midline, the use of weighted mesh with mechanical fixation to reduce dead space may be considered. 29, Try to avoid stapling or suturing during inguinal hernia surgery (except for giant direct inguinal hernias). 30, In all ventral hernia surgeries, one should try to find and remove the herniated fatty tumor. 31, Fatty tissue at the herniation at the internal ring should be retracted. 32, Postoperative patch infection after a ventral hernia is rare. In the case of infection, removal of the mesh is usually not necessary. 33, Seroma is a common complication after lumpectomy hernia repair and should be well explained to the patient preoperatively to reduce patient anxiety. 34, Usually, seroma is not required to be drained. 35, The wound infection rate after lumpectomy hernia should be controlled to less than 2%. 36.The rate of symptomatic recurrence at 5 years after surgery should be controlled to less than 5%. 37. The incidence of severe chronic pain 5 years after surgery should be controlled at less than 2%. 38.Male patients receiving patch repair usually do not cause infertility.