The 70-year-old hernia minimally invasive and open surgery which is better, need to be combined with the degree of the patient’s disease to decide, there is no absolute which one is better. 1. minimally invasive surgery: minimally invasive surgery is also known as laparoscopic surgery, if the elderly cardiorespiratory function, can tolerate general anesthesia, and bilateral hernia, you can choose minimally invasive surgery for treatment. Minimally invasive surgery has smaller incisions, is more beautiful, and facilitates postoperative recovery. 2. open surgery: if the elderly physical condition is poor, do not tolerate general anesthesia, as well as the degree of hernia pressure is more serious, should not be minimally invasive surgery, hernia repair surgery can be carried out under intralesional anesthesia. It should be noted that 70-year-olds are older and when a hernia is found, the surgical method should be chosen under the doctor’s comprehensive assessment to avoid accidents.