Objective:To compare the clinical results of inguinal hernia repair by tension-free and traditional Bassini method. METHODS:Forty cases of both surgical procedures were divided into observation group and control group, and the tension-free hernia repair was used in the observation group and the traditional hernia repair was used in the control group. Results:Patients after inguinal hernia tension-free repair had early bed activity, could eat early, no edema of the spermatic cord, no occurrence of urinary retention, and no recurrence in those with heavy physical labor. Conclusion:Tension-free repair of inguinal hernia has better efficacy, and the use of artificial mesh and mesh plugs has led to the development of hernia repair in a tension-free direction. Surgery is the best way to treat inguinal hernia. Surgical methods include conventional hernia repair with tension (e.g. BassiniMcVay) and tension-free hernia repair with patch application. The traditional inguinal hernia repair has contributed greatly to the treatment of hernias and is still used today, but the procedure has many shortcomings, such as the forced pulling together of the joint tendon and inguinal ligament suture is a suture of two different tissues, the tissue deviates from the normal anatomical site, the tension is high, and the adjacent tissues of the suture are mostly defective, which does not easily produce true healing and leads to the failure of the procedure. tension-free hernia repair is a Tension-free hernia repair is a new method of tension-free hernia repair using synthetic materials, which has become the mainstream of clinical hernia repair because of its physiological anatomical results and tension-free repair. In this study, the two surgical methods were compared, and the results are reported as follows. I. Data and methods 1. Subjects: In our hospital since 2006, two surgical methods, such as the traditional Bassini method and the ventral colloid hernia filling (i.e., tension-free) repair, have coexisted due to physicians’ habits and patients’ requirements. There were 40 cases, including 39 males and 1 female, aged 18-60 years, with an average age of 49 years, including 38 cases of hiatal hernia and 2 cases of straight hernia; the duration of the disease did not exceed 15 years. 2. Study method: The patients were divided into two groups, namely the observation group and the control group. In the observation group, 20 cases were treated with tension-free hernia repair, and in the control group, 20 cases were treated with traditional hernia repair. The differences in general data such as age and gender between the two groups were not statistically significant and were comparable. 3. Treatment method: 20 cases in the observation group were treated with continuous epidural anesthesia, all cases were selected with oblique inguinal incision to protect the exposed inferior iliac abdominal nerve and free spermatic cord, and the hernia sac and contents were returned into the abdominal cavity without giving incision if the hernia sac was not large, and the synthetic mesh plug trimmed according to the inner ring was filled into the inner ring, and the trimmed patch was placed behind the spermatic cord to supplement the defect in the posterior wall of the inguinal canal, and thick silk thread was used to sutured firmly to the abdominal wall, and the incision was closed. After surgery. The control group was treated with Bassini, Ferguson or McVay method respectively according to the surgeon’s custom. 2. Discussion Compared with traditional inguinal hernia repair, tension-free repair is less painful for the patient (no pulling sensation), early feeding, no spermatic edema or urinary retention occurs, solves the drawbacks of severe local pulling sensation and slow recovery of previous hernia repair, and reduces the recurrence rate after previous inguinal hernia repair, which has been verified in the literature that filling hernia repair has also substantially reduced the recurrence rate in the past 20 years of application in China Tension hernia repair is characterized by less tissue exposure and can be performed gently, thus local anesthesia can be chosen in most cases, which has the advantages of faster recovery and fewer complications than epidural anesthesia. Therefore, we believe that inguinal hernia tension-free repair is a surgical procedure that can be universally adopted, and we wish that it can be carried out in the majority of primary hospitals and become a powerful helper for general surgeons.