Elderly people with high blood pressure should be able to undergo hernia surgery after their blood pressure has been controlled to a normal level range by medical treatment. The main contraindications for hernia surgery, i.e., hernia repair for inguinal, femoral and umbilical hernias, include old and frail people with serious heart, liver, lung and kidney diseases; persistent high intra-abdominal pressure, obvious bleeding tendency and children younger than 1 year old. Elderly people with high blood pressure are not among these contraindications and can undergo hernia repair as long as it is controlled within normal values by medical medication and is not accompanied by other contraindicated diseases. The physical condition of the elderly is complex and there are many types of hernia surgery, such as McVay method, Bassini method, etc. The appropriate surgical method should be selected according to the actual physical condition of the patient and under the advice of the doctor in order to obtain the best therapeutic effect. Elderly people with high blood pressure undergoing hernia surgery should listen to their doctor’s advice for rehabilitation to avoid recurrence of the condition.