When “hernia” is mentioned, many people naturally associate it with “small intestine gas” and think that it is a minor problem that is not a big problem whether it is treated or not. In fact, “small intestine gas” is only a small part of “hernia”, i.e. inguinal hernia. “Hernia” also includes abdominal wall hernia such as incisional hernia, umbilical hernia, fistula hernia, lumbar hernia and white line hernia. “Once a hernia is detected, it must be actively treated. If the condition is delayed, it can cause serious consequences and even threaten life. Hernia is a multiple disease, especially among children and middle-aged and elderly people, and according to relevant data, there are about 20 million cases of inguinal hernia each year worldwide. The general incidence of hernia is 1-4%, 15 times higher in men than in women. In China, the elderly population exceeds 300 million, the incidence of hernia in the population over 60 years old is 1.18%, and the number of elderly hernia patients is about 5.4 million, so there are still millions of hernia patients suffering from pain in China. At present, many people have misconceptions about the treatment of inguinal hernia, thinking that it is not life-threatening, so they think it can be treated or not. Older people are especially reluctant to undergo surgery, fearing anesthesia, etc. However, once an inguinal hernia cannot be retracted, it can lead to intestinal obstruction and even intestinal necrosis and perforation, which can be life-threatening, with a mortality rate of about 15%. Cuban leader Castro had a hernia that was not treated in time and caused intestinal necrosis, resulting in an intestinal resection, which greatly increased the risk of surgery and post-operative recovery time. Recently, an old man of Guangdong origin also failed to treat “small intestine gas” in time, which increased the size of “small intestine gas” from the size of an egg to the size of a basketball in a few years (do not wait for such an operation) and seriously hindered his life, at which time he requested surgery, which has The best time for surgery is lost and makes the operation very difficult, resulting in the need to remove part of the large intestine and small intestine. In the case of inguinal hernia, first, it is important to recognize it; second, it is important to treat it promptly. The clinical manifestation of an inguinal hernia is a reducible mass found in the inguinal region. It can be missed in more obese patients and in cases where the inguinal hernia is relatively small. It is important to visit the hospital when a reducible inguinal mass is suddenly irreversible and painful, to detect inguinal hernia impaction and prevent intestinal necrosis. Treatment of inguinal hernia includes both surgical and non-surgical treatment. Surgical treatment is the only way to resolve inguinal hernia. Since the first method of inguinal hernia repair began more than 100 years ago, approximately 80 inguinal hernia repair procedures have been performed, including traditional inguinal hernia repair, tension-free inguinal hernia repair, and inguinal hernia repair with a laparoscopic approach. Each surgical approach has its own advantages and disadvantages and has different indications. The surgeon should choose the most appropriate surgical approach for the patient’s specific condition. Internationally, starting in the 1990s, tension-free inguinal hernia repair accounts for 70% to 80% of the overall surgical volume. The recurrence rate after inguinal hernia repair is generally between 1% and 5%. In view of the fact that elderly people in China have more combined heart and lung diseases and cannot tolerate semi-body or general anesthesia, in recent years the Ventral Hernia Center of Guangdong Provincial People’s Hospital, under the leadership of Director Peng Lin, has carried out “individualized tension-free hernia repair” under “local nerve block anesthesia”. “The procedure is less traumatic, less painful after surgery, no need for fasting and urinary catheter, no need for infusion, medication change, suture removal, bed rest and nursing care, low complication and recurrence rate, less hospitalization cost, shorter hospitalization days, less impact on the whole body, and is easily accepted by most elderly people. Up to now, we have completed more than 2000 cases of various types of inguinal hernia surgery, with the oldest patient reaching 102 years old and the largest inguinal hernia as big as a basketball. At the same time, we have carried out various kinds of hernia repair operations under lumpectomy and achieved excellent results, with an overall recurrence rate of less than 1%, which is in line with the high level of international countries and places.