A direct hernia is mainly characterized by a hemispherical mass in the inguinal region when the patient is standing upright, which increases in size when the abdominal pressure increases, and can be accompanied by abdominal pain and intestinal obstruction. Most of the direct hernia occurs in the elderly, with the age of the abdominal wall muscle weakness, especially the old and weak, more likely to appear. 1. inguinal mass, when the patient stands up by the pressure in the abdominal cavity, in the medial end of the groin, the pubic tubercle of the upper outer side of a hemispherical mass, can be accompanied by abdominal pressure increases, significantly larger, when the patient lies down, the mass immediately disappears. 2. Abdominal pain, abdominal pressure suddenly increases, hernia contents are squeezed, abdominal pain may occur. 3. Intestinal obstruction, hernia contents can not be returned for a long time, affecting the normal intestinal peristalsis, resulting in intestinal obstruction, abdominal distension, abdominal pain and so on. Direct hernia mass usually does not enter the scrotum, rarely incarcerated, most of the hernia content for the small intestine, large omentum or bladder, etc.. The diagnosis is confirmed by ultrasound, and surgery is the best option after diagnosis.