Hernia is a very old disease in both China and the West, almost as old as mankind. The treatment of hernia is mentioned in the Historical Records of the Magpie Cangong. In Europe, surgical treatment of hernia has been recorded for 2000 years. Of course, due to many factors such as the understanding of the cause of the disease, the lack of anatomical knowledge and medical conditions, most of the surgeries were done in the marketplace at that time. After the brutal surgery, patients were faced with the consequences of hernia recurrence. Some patients even relapsed before the fair was over. It was not until 200 years ago that the genius Italian surgeon Basini, after a long period of research, invented hernia repair in the true scientific sense. Later, this operation was named after him. And, to this day, the Basini Hospital remains an authority on hernia repair. Many of the procedures invented by Basini and many other specialists after him had the common disadvantage of sewing the defective tissues together, which left the potential for hernia recurrence. Thirty years ago, another milestone in hernia repair was reached. The use of hernia patches has significantly reduced the recurrence rate of surgery. After more than 10 million cases, it is now proven that the recurrence rate of tension-free hernia repair is about 1 in 1000. When the recurrence rate was so low as to be negligible, the surgeons could no longer make much of a fuss about recurrence rates. But they are not going to be lonely. So, all kinds of weird and wonderful ideas came out. The first to be repaired was the patch, from a flat piece to a mesh plug, petal, cap, with a spring ring patch, etc.. After the patches could not get any more fancy, the advent of laparoscopy gave some people a shot in the arm. Around the laparoscope, countless specialists invented several more surgical methods and gave them the impressive title of “minimally invasive”. Hernia repair, in the final analysis, only needs to solve two problems: one is to block the inner ring and the other is to strengthen the weak abdominal wall. If these two points are achieved, the surgery is successful, and the surgical tricks are just dazzling movements in the magic show. The size of the trauma of an operation should not be judged by the size of the mouth alone, but by a comprehensive judgment. No matter how much laparoscopic surgery is advertised, there is no way to avoid the problem that laparoscopic surgery must rely on general anesthesia. Relying on drugs to make the patient stop breathing, muscle relaxation, loss of consciousness, and then insert a tube from the mouth to blow air into the lungs instead of breathing, and then into the stomach inside the carbon dioxide to puff up the belly, and then do a little surgery. General anesthesia, in any case, is a round trip from life to death. In return, a 4-cm incision is replaced by three 1-cm incisions. After comparing the two, laparoscopic hernia surgery cannot be related to “minimally invasive” in any way, and the real minimally invasive surgery should be local anesthesia.