Sports hernia, also known as hockey hernia, hockey groin, Gilmore’s Groin Injury or groin disruption, is closely associated with injuries in athletes, especially those in high-intensity sports such as soccer, rugby and hockey. It is not strictly a hernia, but a painful soft tissue injury in the inguinal region, and the term “athletic pubic region pain” is currently preferred by the medical community to refer to this type of injury, a syndrome first introduced systematically by London surgeon Jerry Gilmore in 1980. A sports hernia is an injury to the tissues of the inguinal region that occurs during exercise. Because of the weakness of the muscles or tendons in the lower abdomen of the body, the action of forward pressure on the abdomen during prolonged strenuous exercise, requiring a change in direction of exertion or forceful twisting of the torso, puts excessive pressure on the local abdominal wall and can lead to extrusion of a portion of the small intestine into the abdominal wall. It is more common in males. Unlike a typical hernia, the patient does not have a visible mass in the inguinal region, which manifests as a painful discomfort in the inguinal region, and a significant pain in the lower abdomen and inguinal region that is progressively worse when exercising, coughing or sneezing. Men may also have symptoms of testicular pain. In addition, the pain is significantly worse when performing hip extension or squeezing movements of both legs. Groin pain often limits an athlete’s performance and even terminates his or her athletic career. The diagnosis of a sports hernia involves a combined patient history, physical examination, and diagnostic testing. The absence of a palpable mass makes the diagnosis difficult, and recently MRI has been gradually applied to the diagnosis of this disease. The most effective treatment for this disease is surgery. Previously applied conservative treatment methods including rest, anti-inflammatory drugs, cryotherapy and physical therapy may be helpful in reducing symptoms. If these methods fail to reduce symptoms, surgical treatment is chosen, which is aimed at repairing the defect in the abdominal wall. Approximately 65-90% of athletes are able to resume their activities after surgery. Post-operative recovery takes about 8 weeks.