A protrusion or displacement of an organ or tissue through a normal or abnormal cavity or weak spot in the body is called a hernia. Hernias can occur anywhere in the body, but extra-abdominal hernias are the most common. Extra-abdominal hernias include inguinal hernia, femoral hernia, umbilical hernia, white line hernia, hallux valgus hernia, incisional hernia, fistula hernia, etc., but inguinal hernia is the most common and is known as “small intestine strangulation” by the common people. Many patients with inguinal hernia do not have any symptoms, but in mild cases, they have lower abdominal discomfort and swelling, which affect their work and life, and in severe cases, they may be unable to work. An inguinal hernia may be fine for decades, or it may happen at any time. Once an intussusception occurs, intestinal obstruction, abdominal pain, and even intestinal necrosis, perforation, or life-threatening conditions can occur. The main cause of hernia in the elderly is still the thinning of the abdominal wall and decreased tension, combined with the possible presence of increased abdominal pressure and other factors. This type of hernia is not likely to heal on its own, and a hernia belt can only relieve the symptoms. The presence of an incarcerated hernia in the elderly is also very dangerous, so once detected, an elderly hernia should be treated with surgery as soon as possible while the body is in good condition. For the treatment of hernia in the elderly, there are two main types of surgery: local anesthesia open surgery, which is simple and economical; and minimally invasive lumpectomy, which has a quick recovery and less pain. The results of both are reliable, and the specific choice depends on the patient’s physical condition and economic status.