Inguinal hernia surgery can be treated with local anesthesia, epidural anesthesia or general anesthesia, and the specific surgical procedures can be divided into two categories: open surgery and laparoscopic surgery. 1. Open surgery (1) Tissue suture repair: Bassini, Shouldice, McWay and other surgical procedures, the main points of operation are similar, the main steps are: free the spermatic cord, return the hernia contents, high ligation of the hernia sac and suture to strengthen the posterior inguinal wall. The key points of the operation are: reconstruction of the appropriate size of the inner ring; suture strengthening of the posterior inguinal wall level. (2) “Tension-free” repair. Includes ① surgery to strengthen the posterior inguinal wall: simple flat sheet repair and mesh plug-flat sheet repair. Operation: free the spermatic cord, return the hernia content, deal with the hernia sac, insert the repair material, fixation. Strengthening of the anterior peritoneal space. Operation: free the spermatic cord, return the contents of the hernia, deal with the hernia sac, free the anterior peritoneal space, the placement of repair materials, fixed. 2. Laparoscopic surgery: Laparoscopic surgery is an operation to strengthen the abdominal wall in the area of the “musculopubic foramen” using materials for repair. There are four main types of surgery: total extraperitoneal repair, transabdominal preperitoneal repair, intraperitoneal repair, and transabdominal split extraperitoneal repair. The key points of the procedure are: opening the preperitoneal space (the retro-pubic and inguinal space) in the lower abdomen, isolating and treating the hernia sac, visualizing the genital vessels, vas deferens or round ligaments (in women), placing the repair material and closing the peritoneum. The choice of which procedure to use clinically should be made by a specialized physician based on the patient’s specific situation.