Recently, some laparoscopic hernia repairs have been performed, and the number of cases is not enough to complete an article on a little experience. Although much of the anatomical knowledge of open surgery is not used in laparoscopic surgery, the deeper the thinking about open surgery (the structure under the transverse abdominal fascia, the placement of the patch), the more laparoscopic surgery will reveal many imaginary old friends one by one. The advantage of transabdominal repair over the extraperitoneal route is the search for the hernia sac and the identification of the anatomical structures, but peritoneal closure is definitely difficult, so the choice of the type of surgery to be performed in the first place must be combined with the operator’s own strengths. The main resistance to the development of laparoscopic hernia repair is, in my opinion, mainly financial, both for the patient and the surgeon, and is it possible for the surgeon to apply even hard anesthesia? The choice of local anesthesia for open surgery can hedge part of the cost, and for the patient the choice of cheaper flat films can significantly reduce the cost. Not only are bilateral and recurrent hernias very good surgical indications for laparoscopic hernia repair, but I think most hernia patients can benefit from this procedure.