Inguinal hernia is a common but often underappreciated condition. With the general improvement in medical care, the significant increase in the average life expectancy of humans, and the increased demand for quality of life, more and more hernia patients are requesting surgical treatment. Among the many surgical methods, open inguinal tension-free hernia repair is accepted by the majority of hernia surgeons because of its superiority. However, the peculiarities of our national situation, specifically medical costs, have prevented this standard procedure from gaining maximum popularity. Reducing medical costs, in addition to reducing the cost of materials. Reducing the cost of anesthesia is also one of the important aspects. The most common forms of anesthesia for open inguinal hernia repair are the choice of continuous epidural and general anesthesia. Local anesthesia is the reversible blocking of peripheral or peripheral nerve conduction with local anesthetics, causing a part of the body to lose the perception of painful stimuli. Tension-free hernia repair surgery can be accomplished completely under local anesthesia. Relative to epidural anesthesia, local anesthesia has the following advantages: 1, the complete range is large, the safety range is good, for patients who are not suitable for epidural anesthesia and general anesthesia, especially elderly patients and patients with coexisting cardiopulmonary disorders, can improve the tolerance of surgery and broaden the indications for surgery. 2.No secondary trauma of epidural anesthesia and general anesthesia, less postoperative pain. 3.Save the time of epidural anesthesia, thus shortening the operation time. 4.Fast postoperative recovery, no anesthesia recovery period, can get out of bed and eat normally after surgery. 5.Simple operation, no need for professional anesthesia personnel, and obviously reduce the cost of patients. 6.It is possible to open day hernia repair surgery, which helps to shorten the hospitalization time and save the hospitalization cost. What is more worth mentioning is the high incidence of urinary retention after continuous epidural anesthesia. The occurrence of urinary retention is a complication caused by epidural anesthesia itself, plus the fact that most patients with inguinal hernia are elderly and often combined with prostatic hyperplasia, the chance of urinary retention after surgery is higher. Once urinary retention occurs, it requires catheterization for 1-7 days, significantly prolonging the hospital stay and increasing costs. The postoperative recovery is significantly faster after local anesthesia surgery. Also normal feeding in the perioperative period allows continuity of medication for medical therapy in some elderly patients. Local anesthetic techniques can become routine for inguinal hernia repair, which can reduce preoperative preparation, reduce the cost of epidural anesthesia, reduce the cost of managing postoperative complications when they occur, and reduce the length of hospital stay, which can also significantly reduce the total cost of hospitalization. Of course, not all open hernia repairs can be performed with local anesthesia, and for patients with refractory hernia, giant scrotal hernia, recurrent hernia, hernia with local injection of sclerosing agents, and overly obese patients. Epidural anesthesia or even general anesthesia is preferred. In addition, local anesthesia requires the experience and operating technique of the physician because of the prolonged operation, reduced anesthesia effect, and impact on the quality of surgical repair, increasing the risk of postoperative recurrence.