The incidence of inguinal hernia in the elderly is increasing. According to statistics, China’s older than 60 years old about 300 million. 2001 Shanghai region inguinal hernia incidence of preliminary epidemiological survey results show that the incidence of inguinal hernia in about 3.6 per thousand, older than 60 years old incidence rate is as high as 11.8 per thousand, Tianjin is higher than the country. And the combination of heart, brain, lung, kidney, liver base disease of inguinal hernia of more patients, reaching 65% to 72%. Hernia bothers more and more elderly people, if treatment is not timely, it is easy to cause serious complications. A few days ago, our department admitted a patient who was nearly eighty years old, due to hernia incarceration, resulting in intestinal rupture and perforation. As he had already had the disease for four days when he was admitted to the hospital, although he received surgical treatment, he finally died of MODS due to his advanced age and late arrival at the hospital. Although hernia is a common disease, people do not know much about its pathogenesis characteristics. Any organ or tissue in the abdominal cavity due to various reasons to leave the original position, through the congenital existence or acquired formation of the fissure or gap weak area into another part is called abdominal hernia, which occurs in the inguinal area is called inguinal hernia. Including: inguinal hernia, inguinal hernia, femoral hernia. These hernias account for 90% of all hernias, with hiatal hernias accounting for 90% of inguinal hernias. There are many causes of inguinal hernias, mainly reduced abdominal strength and increased intra-abdominal pressure. In the elderly, muscle atrophy makes the abdominal wall weak, and the inguinal area is even weaker, plus there are blood vessels, spermatic cords, or the round ligament of the uterus passing through it, which provides a channel for the formation of hernias. In addition, the elderly often have coughing, constipation, prostate hyperplasia caused by urinary difficulties and other diseases, resulting in increased abdominal pressure, for the formation of hernia to provide the impetus. If the inguinal area (that is, the root of the thigh) appears reversible mass, that is, standing, walking, coughing or labor when appearing, lying down when resting disappeared, we should consider the possibility of inguinal hernia. There is a general misunderstanding about inguinal hernia that it is not life-threatening, so many people feel that it can be treated or left untreated. In addition, due to advanced age and associated underlying diseases, many elderly people are afraid of anesthesia and surgery. However, once an inguinal hernia cannot be retracted, it can lead to intestinal obstruction, or even intestinal necrosis and perforation, which is life-threatening and has a mortality rate of about 15%. Conservative treatment of inguinal hernia includes hernia belt, hernia brace, traditional Chinese medicine, traditional Chinese medicine and injection therapy, etc. These methods can relieve the symptoms or delay the development of the disease, although the short-term effect is still acceptable, but it can’t be cured, and it will recur soon. Surgery is the only reliable way to cure inguinal hernia. I Chinese and Western medicine combined surgery (Department of Surgery) used “local nerve block anesthesia + needle anesthesia” various advanced surgical tension-free hernia repair, due to the small trauma of the operation, postoperative pain is light, no need to fasting and under the urinary catheter, no need for fluids, medication, sutures, bedridden and accompanied by a low rate of complications and recurrence of hospitalization costs are less, shorten the hospitalization days, easy to be accepted by most of the elderly. It is easy to be accepted by most elderly people. Moreover, due to the elderly patients, as well as cardiac, cerebral, pulmonary, renal and hepatic function is poor can not tolerate intravenous compound (general anesthesia), continuous epidural and basic + local anesthesia, and can not implement the operation, and the application of needle anesthesia on the basis of the requirements of the disease is relatively wide, especially for the cardiovascular disease of the elderly patients is more appropriate, needle anesthesia has the advantages of safe and effective, fewer side effects, less physiological interference and fast recovery after surgery. Modern acupuncture anesthesia is developed on the basis of acupuncture analgesia, which is a leap in the history of the development of acupuncture and moxibustion, creating a new era in the history of anesthesia in the world of medicine.