Older people are the most common group of hernia patients, and the older they are, the higher the incidence. However, most hernia surgery, especially the most common inguinal hernia surgery, is a minor surgery in the surgical category, and it can be done under local anesthesia with little impact on the patient, and most of them can tolerate the surgery as long as they do not have serious systemic diseases. Therefore, it is crucial for the elderly to have a good pre-operative evaluation and pre- and post-operative treatment. Nowadays, people are living longer and want to have a better quality of life, and keeping a hernia on the body and avoiding surgery definitely affects the quality of life. At present, surgical techniques and medical materials have developed rapidly, and the hernia repair surgery we perform is a tension-free repair surgery with a patch, which is like a “patch” for our clothes, and the efficacy is very positive, with low recurrence rate and few complications, so we should have confidence in the surgical treatment of hernia, especially for elderly patients. Therefore, we should have confidence in the surgical treatment of hernia, especially for elderly patients, so that small bowel gas will no longer be a burden to your life.