Elderly hernia: In the elderly population over 60 years old, inguinal hernia is common, incisional hernia is common, the incidence of incarcerated hernia, strangulated hernia increases, and many comorbidities increase the risk of surgery. First, the elderly hernia anatomical characteristics: 1, Fruchaud’s muscle pubic foramen at the transversal abdominal fascia thinning; 2, muscle fibers by fibro-adipose tissue gradual replacement; 3, elastic fiber tissue loss; 4, acid hydrolysis fiber function to reduce the integrity of the transversal abdominal fascia damage; 5, old age, hernia clinical characteristics; 6, old age hernia easy to complicate incarceration and intestinal necrosis; 7, intestinal strangulation and emergency surgery easily lead to post-operative death; 8, local anesthesia tension-free repair of hernia, the incarcerated hernia is common. The use of local anesthesia tension-free repair and mesh prosthesis makes the elderly hernia repair; 9, the patch surgery is safe, simple, effective, and fast postoperative recovery. Second, the elderly hernia anesthesia choice: 1, general anesthesia – easy to complicate postoperative respiratory, circulatory, urinary system and deep vein thrombosis and other complications; 2, lumbar anesthesia – osteoporosis makes the implementation of anesthesia is more difficult; 3, local anesthesia – safe and easy to reduce the cardiopulmonary complications, and is conducive to early recovery.