A hernia is a defect in the abdominal wall, that is, a hole inside the abdominal wall, from which the intestine protrudes when the abdominal pressure increases, such as when defecating, coughing, or standing up and moving, and which goes back when lying down. Thus the causes of hernias are both reduced strength of the abdominal wall and increased intra-abdominal pressure. Hernia is a prevalent condition in the elderly. Many patients with hernias are found by chance, with a mass in the abdominal wall that is not uncomfortable and disappears after lying down at rest. The development process of hernia is generally a slow one, and most of them have no symptoms at the beginning. Therefore, many patients lack knowledge about hernia disease, and there are many misconceptions that prevent timely treatment in the long run. As the disease progresses, the hernia becomes larger and larger, and the prolapsed intestinal tube becomes larger and larger, and the symptoms become more and more obvious, with discomfort or dull pain in the abdomen. If the contents of the hernia suddenly cannot be retracted and symptoms such as severe pain occur, it is called an incarcerated hernia, which is a serious comorbidity of hernia. Once a hernia is incarcerated, it has less chance to retract on its own. In most patients, the symptoms gradually worsen and can develop into strangulated hernia if left untreated. The clinical symptoms of strangulated hernia are more severe. The necrotic intestinal canal can become infected secondary to peritonitis and septic sepsis. If left untreated, the patient’s life can be endangered, so a hernia should not be ignored and should be treated early. Therefore, we believe that there are several misunderstandings in the understanding and treatment of hernia patients: Firstly, there is an indifferent attitude towards hernia, many patients think that hernia is not painful, does not delay eating and drinking, and does not need treatment, not knowing that the hernia will get bigger and bigger as the course of the disease prolongs. I once saw a patient with a history of only two years, but the hernia was already more than a soccer in size and she could only lie in bed, and it was difficult to take care of herself, not to mention the quality of life. Once the hernia is ingrown, most of them need emergency surgery and the risk of surgery will be greatly increased, so early surgical treatment should be performed. Secondly, we hope that conservative treatment will be effective. Conservative treatment can only temporarily relieve symptoms, and no medicine or hernia belt can cure hernia, which is a physical defect of the abdominal wall, and surgery is the only way to treat hernia. We have seen many patients with failed injection treatment for hernia, which cost a lot of money and can result in unclear anatomy of the surgical site, making surgery difficult. Therefore injection sclerotherapy is not allowed in regular hospitals. The third fear of surgery Most hernia patients have never had surgery in their lives and have a fear of surgery. Although surgery is an invasive treatment, most of them only need local anesthesia and adopt minimally invasive methods, which can cause less damage and faster recovery without catheterization and fasting, and even achieve “day surgery” without hospitalization. The fourth fear of recurrence, modern tension-free hernia repair, has significantly reduced the recurrence rate compared to traditional hernia repair, from more than 10% in the past to less than 1%. The recurrence rate is even lower when treated by a hernia specialist. The fifth fear of foreign body reaction Modern tension-free hernia repair uses organic materials to repair defects in the abdominal wall, so there is a common concern among hernia patients as to whether this material will be harmful to the body. Most of the repair materials used nowadays are high-purity polypropylene materials, which are very inert, should not react chemically with the tissue, have good histocompatibility and have been used in humans for more than 40 years. The sixth fear of spending money on hernia occurs mostly in the elderly, when most patients are retired and have reduced income, and when all repair materials are currently not reimbursable. However, there are many kinds of materials used for hernia repair, and the cheap ones are only a few hundred dollars, which is perfectly acceptable to most patients. Some elderly patients are not willing to inform their family members or seek medical advice when they find a mass near their external genitalia, and they just get over it and suffer in silence. In conclusion, hernia patients should pay attention to hernia and treat it early. Modern tension-free hernia repair is a safe, effective and minimally invasive hernia treatment method, and the success rate of hernia repair by hernia specialists is close to 100%.