The first pathological basis for the formation of a hernia is the local weakness of the abdominal wall, and the second is the increase in abdominal pressure. Since prostatic hyperplasia are older men, the abdominal wall weakens with age, and straining to urinate increases abdominal pressure. So some patients with prostate hyperplasia are accompanied by a hernia. How can this be treated at this time? There are two cases. The first is where senile changes are the main cause and the prostatic hyperplasia is assessed as not requiring surgical treatment, so of course only a hernia repair is performed. The second is that increased abdominal pressure is an important cause, which requires simultaneous removal of the cause of increased abdominal pressure. If prostatic hyperplasia with abdominal pressure is its cause, it is best to remove the obstruction caused by prostatic hyperplasia at this time. Our experience is that it is possible to perform both procedures during one hospital stay, with two procedures 5-7 days apart. Using the latest patches and delicate operations, the hernia can be out of bed the day after surgery, basically without prolonging the hospital stay. Some doctors think they can complete the surgery in one anesthetic, which we don’t think is too necessary. Even if we take a step back, we can perform hernia surgery with local anesthesia without increasing the risk of anesthesia.