The first laparoscopic inguinal hernia repair was performed by Dr. Ger in the United States in 1982 with success, and the clinical reports of this technique have gradually increased and diversified repair methods have emerged, bringing a new technique to inguinal hernia repair and showing a broad prospect. In recent years, with the improvement of medical devices and surgical techniques, significant progress has been made in laparoscopic surgery. The human abdominal wall is divided into several layers, and the innermost layer is called the peritoneum. The impact on the person can be much reduced if the surgery can be performed without entering the abdominal cavity for therapeutic purposes. Laparoscopic total extraperitoneal repair (TEP for short) can do this with only two 0.5M and one 1M wounds, without entering the abdominal cavity and completely outside the peritoneum, by pulling the hernia pouch back into the abdominal cavity and covering the herniated gap with artificial mesh, according to the endoscopic TV images. The advantages of this method are as follows: firstly, because of the posterior approach to repair, the anterior peritoneal space can be freed large enough by operating under direct laparoscopic vision; secondly, because the patch is used to fully repair and replace the local transversus abdominis membrane at the weakest point, the patch can soon fuse with the abdominal wall tissue to form an extremely tension-resistant union, and because the patch placed is 10M×15M in size, it can cover both hiatal hernia The recurrence rate is low, usually around 1%, and can be further reduced to 0.1% by surgeons with extensive laparoscopic experience. Because of the smaller wound, the postoperative pain is light, the discomfort reaction is small, the recovery is fast, the chance of wound infection is low, and the patient can go home for daily life on the second day after surgery, and can return to work 1-2 weeks after surgery. In addition, laparoscopic total extraperitoneal repair is most suitable for bilateral inguinal hernias and recurrent hernias. This procedure has been accepted by more and more patients because of its advantages of less trauma, faster recovery and lower recurrence, and because the gap between the cost of treatment and that of open artificial mesh repair is gradually narrowing. Open and lumpectomy are both internationally recognized treatment methods. The open procedure is simple and quick, and local anesthesia expands the indications for surgery, making it a more affordable option. The lumpectomy is a minimally invasive procedure with no large incisions and little trauma. General anesthesia allows patients to have no intraoperative discomfort, less postoperative pain and shorter return to work, but it is more expensive. Whether a patient with inguinal hernia is suitable for laparoscopic or open surgery, the doctor should fully inform the patient of the respective risks and advantages of open and lumpectomy surgery, and should be part of the consent form for the surgery, which should be chosen by the patient according to his or her own situation combined with the professional advice of the doctor he or she sees.