Inguinal hernia, commonly known as small bowel crosstalk, is a common and frequent surgical condition, more common in elderly patients, mainly due to the weakness of the musculofascia in the inguinal region, combined with some triggers, such as chronic cough, constipation, and difficulty in urination. So anything that causes increased abdominal pressure can be a trigger, and it is even more common in male patients because the spermatic cord passes through the inguinal region, which is itself a weak link in the abdominal wall. The worst case is a sudden increase in abdominal pressure leading to an incarcerated hernia, where the abdominal contents of the hernia cannot be returned, which can cause serious complications and must be operated on urgently. After diagnosis, elderly or adult patients should be treated with surgery as soon as possible. Currently, surgery is the only definitive treatment for radical hernia. We do not advocate sclerotherapy or herbal treatment. Hernia belts should not be used as much as possible, because prolonged use can cause local tissue adhesions to thicken and create difficulties for future surgical treatment. At present, our hernia and abdominal wall surgery department performs two types of surgery for patients with inguinal hernia. One is open surgery with local anesthesia, which has a wide range of indications for anesthesia, especially for elderly and frail patients with multiple diseases who cannot receive general anesthesia. The other is the minimally invasive-lumbo-lumbo hernia repair, which is a more advanced technique without large incisions, just three small holes in the belly, and a quick recovery after surgery.