The umbilical cord is cut at birth, leaving the umbilical ring behind. As the infant grows and develops, the umbilical ring can be closed gradually. However, in some infants, the umbilical ring is not fully closed, leaving a defect. As the abdominal cavity pressure increases with age, the defect gradually expands, leading to the gradual ejection of abdominal contents, such as small intestine, peritoneum and abdominal wall skin, from the umbilicus to form an umbilical hernia. It is more dangerous than inguinal hernia and is more likely to lead to serious complications such as intestinal necrosis and even toxic shock, so it must be taken seriously. The clinical symptoms of umbilical hernia are easily recognizable and can form a mass in the umbilicus, which is round or oval in shape. The mass usually retracts and disappears when lying down, but some patients may not be able to retract. In adults, umbilical hernias are more common in older women. Patients may have no accompanying symptoms or may have abdominal discomfort and vague pain. Once an umbilical hernia is detected, it should be treated surgically at the earliest possible time to achieve an effective cure. The specific surgical procedure should be either open or minimally invasive depending on the patient’s specific situation. If left untreated, the hernia is prone to entrapment, leading to serious complications such as necrosis of the intestinal canal. Surgery is the most effective and the only way to treat umbilical hernia. Traditional open surgery: The principle is to find the defective area, put in a traditional patch to cover the gap and then sew up the umbilicus layer by layer, the incision range is six or ten centimeters. 2.Minimally invasive surgery: The principle is to fill up the missing part with a patch, which has a better cosmetic effect and may only have 3-4 small holes on the skin surface. However, the risk of surgery is significantly increased when the individual patient is in poor health, with serious damage to heart and lung function or liver function, and in case of other comorbidities. The surgeon should first conduct a detailed examination of the patient’s condition and carefully assess the riskiness of surgical treatment. If the patient is prone to life-threatening conditions intraoperatively or postoperatively, conservative treatment can be adopted first by first suppressing the hernia with a hernia belt while minimizing activities such as coughing to avoid increased abdominal pressure. However, in case of intussusception, surgical treatment should be taken immediately.