Patient Question: I am 70 years old, I have been diabetic for more than 10 years and recently discovered an inguinal hernia, can I have hernia surgery? Answer: Diabetes and inguinal hernia are both common human diseases, and inguinal hernia patients with concomitant diabetes are very common. Surgery for inguinal hernia is usually minor, so it does not make sense to say that you cannot have hernia surgery with diabetes. However, diabetic patients usually have a poor immune system and many of the associated surgical risks, especially the risk of infection, are increased, and this is also true for hernia surgery. Also, hernia surgery is performed with the placement of patch material, and the presence of a foreign body postoperatively can increase the probability of infection. Therefore, perioperative management of diabetic patients is imperative. First of all, blood glucose should be controlled well before surgery, fasting blood glucose should be controlled within 9, and insulin should be used instead if oral medication is not well controlled, and blood glucose monitoring should be done well after surgery. Surgical operation should be as gentle as possible to reduce trauma and bleeding and shorten the operation time as much as possible. If there is no contraindication, laparoscopic surgery should be chosen as much as possible, because the risk of infection in laparoscopic surgery is much lower than that in open surgery. Also, prophylactic antibiotics are required.