A small incision can also be used for bilateral hernia repair. Recently I have completed more than a hundred cases of pediatric hernia sac high ligation and adult tension-free hernia repair based on the use of a single transverse incision on the pubic symphysis, has been successfully for several pediatric bilateral hiatal hernia patients for hernia sac high ligation and adult bilateral tension-free hernia repair. Traditional surgery involves two incisions in the patient’s abdomen, while the single incision repair, which is currently the leading one in China, provides beautiful incisions, less trauma, less pain, faster recovery, better results, and low surgical costs.