Surgical treatments for hernias can be grouped into three main categories. The first category involves either suturing the edges of the broken tissue directly, or suturing the upper layers of the broken tissue in an attempt to cover the break. This type of repair is often referred to as a tension repair or traditional surgery. Tension surgery is like sewing up a hole in a shirt with thread. This simple suture creates tension at the point of closure, which can lead to pain and recurrence after surgery. According to national and international data, the recurrence rate of tensegrity surgery is more than 10%. This type of surgery is more suitable for pediatric and younger patients. The second type of surgery is laparoscopic surgery. The surgeon inserts different surgical instruments into the patient’s abdominal cavity, and with the help of a camera, a patch is placed into the patient’s abdominal cavity or preperitoneal space. The surgeon performs the surgery through imaging on a television screen. This type of surgery has shown good results in the recent past, but it requires a high level of skill on the part of the surgeon, requires general anesthesia, and is more expensive. This type of surgery is more suitable for patients with bilateral and recurrent hernias. The third type of surgery is tension-free hernia repair or tension-free hernioplasty. Tension-free hernia repair was invented in 1984 by Dr. Lee Goldstein and his associates at the Lee Goldstein Hernia Center in the United States. The method involves covering the hernia defect with a mesh patch that is very compatible with human tissue. The logic of this method is equivalent to patching a hole in a silk dress with silk. This method is named as Lippincott’s surgical approach. The method was rapidly adopted by doctors all over the world because of its low recurrence rate, fewer complications, use of local anesthesia, no hospitalization of the patient after the surgery, quicker postoperative recovery, and lower cost. Today, the Lippincott Tension-Free Hernia Repair is not only widely accepted by physicians around the world, but is also honored by the American College of Physicians as the gold standard in hernia repair surgery. The center’s current director, Dr. Emmett, is the president of the American Hernia Society. Since the invention of tension-free hernia repair at the Lichtenstein Hernia Center, there has been a proliferation of material-based approaches to hernia repair. Each of these methods has been supported by a variety of theories. But basically they all differ in the shape of the repair material. To date, none of the other modalities have made a strong case for being superior to the Lichtenstein method in terms of overall results, and the most commonly used worldwide is still the Lichtenstein surgical approach.