Huge hernia in the elderly should be treated with timely intervention by way of surgery if they are in good physical condition, while conservative treatment can be chosen if they are in poorer health. Clinically, hernia in the elderly cannot recover on its own and is best treated by surgery. Surgery is generally recommended to treat hernias in the elderly if they are in good physical condition and do not have serious cardiopulmonary disease and can tolerate surgery. Surgery includes traditional open surgery and laparoscopic hernia repair. However, if the patient is in poor physical condition with multiple underlying diseases, he/she cannot tolerate surgery. At this time, conservative treatment can be adopted, such as wearing a local hernia belt to prevent recurrent herniation. After surgery, in addition to paying more attention to wound care and eating a high protein diet. Patients also need to keep their bowels clear and avoid coughing to avoid difficulty in urination. It is recommended that when the elderly have a huge hernia, they should go to the hospital in time and choose the appropriate treatment plan under the guidance of the doctor to avoid delaying the condition and causing adverse consequences.