“God, a small cesarean-like incision can also perform bilateral hernia repair”. Yesterday, Ms. Li, a nurse in the operating room, told everyone in amazement. The incision was located 2-3cm above the pubic symphysis, following the skin folds, about 4-5cm long. interval. The whole procedure took less than one hour, and on the first day after the surgery, Mr. Zhang was able to eat and get out of bed normally. It was reported that Mr. Zhang was 83 years old and had been suffering from hypertension for 2 years. 6 months ago, he had bilateral inguinal masses of about 3*4 cm in size with pain and discomfort, and was diagnosed as bilateral inguinal hernia after coming to our hospital, which required surgical treatment. Considering the old man’s advanced age, a conventional hernia repair would have required a 4-7 cm incision in each inguinal region, which would have been more traumatic; while a laparoscopic hernia repair would have reduced the incision and made it difficult to tolerate general anesthesia and inflation, Director Fan adopted a single-incision preperitoneal repair of bilateral inguinal hernia under epidural anesthesia, which required only one incision, no general anesthesia and inflation, and no special instruments, and still obtained satisfactory results after surgery. The results were satisfactory. According to Dr. Fan Youben, the formation of inguinal hernia is mainly due to the defect of tissues in the inguinal region of the lower abdomen of the human body. Unlike the usual Lijinstein and hernia ring-filled hernia repair surgery, preperitoneal tension-free hernia repair places a shaped patch such as KUGEL in front of the peritoneum to strengthen the innermost layer of the entire abdominal wall defect, which is more reasonable and the repair is more secure, and comprehensively covers the weak areas such as the inner ring, femoral ring and direct hernia triangle. The nerves in the operated area are also avoided, the postoperative pain is less severe, and the patch is placed in a deep position, reducing the foreign body sensation. The use of a single incision for bilateral inguinal hernia repair with a preperitoneal patch is just beginning at home and abroad. Based on the completion of thousands of open and lumpectomy preperitoneal hernia repairs, Director Fan has recently successfully repaired many patients with bilateral inguinal hernia using a single incision. The shorter operation time, less trauma to patients, faster recovery, better cosmetic effect and reduced operation cost have brought blessings to patients and their families.