Nowadays, so many patients with inguinal hernias patients undergo tension-free hernia repair surgery, often using a patch, a polymer material similar to a plastic sheet, which is very strong and greatly reduces the chances of hernia recurrence. It also makes hernia surgery much safer. But for a variety of reasons, some patients who use the patch still have recurrences. The recurrence is often at the edge of the patch, and the hernia reappears because the abdominal wall becomes thin. Recently, the author encountered a case of recurrent hernia, but from inside the hole left for the spermatic cord in the middle of the patch, using a domestic patch similar to the Bard’s Web Segaping Patch. This means that the hole reserved for the spermatic cord during the first operation was too large, and the site of the mesh plug was shifted from the inner ring. The herniated bowel could not be returned and formed an adhesive band at the hernia ring opening, becoming a difficult hernia. During the operation, the hernia sac was freed sufficiently, especially around the opening of the patch, and the original patch was cut to loosen the adhesion, open the hernia sac, and return the bowel, and then the posterior wall of the inguinal canal was repaired again with a flat sheet. The operation was successful and the patient was cured and discharged. This recurrent patient, often of advanced age, has a particularly weak abdominal wall, which would be weakened even more by extensive removal of the original patch, so in this case the patient retained a large portion of the original patch so that the abdominal wall tissue was not excessively damaged. There was also abscess formation outside the hernia ring during the operation, about 10 ml of yellow viscous pus, which was rinsed with hydrogen peroxide, saline, and diluted fluid with vital iodine before the patch was boldly used with success. It is felt that Bard’s mesh plug is on the three-dimensional side, and the area of repairing the inner ring is on the small side, which is easy to shift. This is just a family’s opinion, and I hope that my peers will not take it into account.