Hernia is a common and frequent disease. Inguinal hernia is mainly manifested as a “lump” at the base of the thigh, which appears when standing and disappears when lying down (reversible), gradually increases in size and can reach the scrotum, which can be vaguely uncomfortable, painful or sometimes excruciatingly painful (intestinal impaction), affecting life and work and sometimes threatening life. The surgical repair of the defect is the only radical cure. In addition to infantile hernia being common, although it is also seen in women, it is more common in middle-aged and elderly men. With the advent of an aging society in China, the prevention and treatment of hernia is not only a medical problem, but also a social and economic one. Postoperative incisional and peristomal hernias, and even primary umbilical, lumbar, white line, and esophageal hiatal hernias are not uncommon. Sometimes abdominal wall tumors are difficult to treat. Dr. Fan Youben has been very interested in hernia and abdominal wall surgery since the turn of the century. He has seriously inherited the experience of his predecessors and superior physicians, actively practiced, studied domestic and foreign literature, actively participated in domestic and foreign academic conferences on hernia, actively learned from advanced counterparts at home and abroad, introduced and innovated hernia surgery, summarized it, established a professional group team, seriously trained subordinate physicians, and regularly held national training courses on hernia repair. We have held regular national training courses on hernia repair (in cooperation with Hemi Italy) and hosted four consecutive international forums on hernia and abdominal wall surgery. We have built up the treatment system and characteristics of hernia and abdominal wall surgery in the Sixth Hospital and achieved good results, gradually increasing the number of patients treated, gradually improving the quality and increasing the proportion of difficult and critical cases. (Dr. Fan Youben, chief physician, is a member of the American Hernia Society, a member of the Hernia and Abdominal Wall Surgery Committee of the Chinese Physicians Association, and was honored to be selected as one of the top 12 hernia and abdominal wall surgery specialists in China and one of the top 8 thyroid surgeons in China among the top 100 famous doctors in 2014. abdominal wall hernias or tumors are admitted to inpatient wards. With inguinal hernia, we can skillfully operate on patients using multiple procedures, such as repair surgery under local anesthesia, preperitoneal repair and Ligginstein repair under lumbar anesthesia, and lumpectomy hernia repair, with the aforementioned procedures chosen according to the patient’s condition and wishes, with the key being quality control and rapid recovery, making open or lumpectomy tension-free repair the common gold standard for hernia in the inguinal region (total number of cases in 2014 was nearly 800, with my lumpectomy (minimally invasive rate close to 50%). We have tight control over postoperative recurrence rates, severe postoperative pain rates, and infection rates (all under 1%). For small incisional hernias, or umbilical hernias, we mostly use a minimally invasive +, i.e. single-hole lumpectomy, (Figure 1) where a small 1.5-2 cm hole is made about 10 cm distal to the hernia, and a conventional lumpectomy and operating rod are placed for surgery. The goal is to be more minimally invasive and more cosmetic. For large and medium-sized incisional hernias, including stoma hernias, we use a combined lumpectomy and open surgery, i.e. “hybrid surgery”, (Figure 2), to complement each other’s strengths and weaknesses, to facilitate reliable closure of the midline, safe separation of abdominal adhesions, excision of abdominal wall scars and excess hernia sacs, easy placement and fixation of patches, and reduction of intestinal injury, in pursuit of safety and reliability. For very large incisional hernias (e.g., 15 cm or more in transverse diameter), we use the tissue component structure separation technique CST (Figure 3) (bilateral longitudinal incision of the lateral extra-abdominal oblique tendon membrane, sometimes with an additional posterior rectus abdominis sheath incision and reversal suture) to facilitate closure of the large defect, supplemented by the placement of an intra-abdominal surface patch and a subcutaneous fascial anterior patch, called “sandwich” repair. “sandwich” repair. (Figure 4) Because giant incisional hernias interfere more with the heart and lungs and intra-abdominal hypertension occurs after surgery, perioperative management is very important. We use preoperative progressive pneumoperitoneum (PPP), lap band with pressure bandage, and intraoperative resection of some tissues, such as the greater omentum (also called “active reduction”), to prevent postoperative abdominal hypertension, which affects cardiopulmonary function. In the case of abdominal wall tumors, the extent of resection should be sufficient, more than 2-5 cm from the mass, and the abdominal wall defect should be reinforced with a patch and also with a flap, and postoperative radiotherapy should be used (Figure 5). With extra large incisional hernias and abdominal wall tumors, radical treatment is pursued. (Figure 1, 2010, postoperative incisional hernia after small incision cholecystectomy, with a small single incision on the left lateral abdomen, conventional equipment, completed surgery, and good follow-up) (Figure 2, small intermediate incision, assisted adhesion separation under direct vision, open placement of the patch, reliable and easy suturing of the midline, and then lumpectomy with gun nail fixation of the patch) (Figure 3, 2012, wound infection after enterostomy retraction, huge incisional hernia, abdominal wall fissure (Unable to close, bilateral lateral longitudinal dissection of the external oblique abdominal tendon membrane, CST) (Figure 4, left, huge incisional hernia, reinforced with an intra-abdominal patch, midline defect after CST unable to close, bilateral longitudinal dissection of the posterior rectus abdominis sheath turned over and then successfully sutured with CST+. (The right side shows the upper patch with the sutured fascia below and then the IPOM patch below, hence the name sandwich, firmly reinforced.) (Fig. 5 Abdominal wall tumor Salvage radical surgery Male, 39 years old, wasted, painful, unable to lie down, cecum cancer invading abdominal wall, small intestine, ureter, seven-step approach, operation time was 8 hours) (Fig. 6 Rapid development of hernia and abdominal wall surgery specialty in Shanghai Sixth Hospital)