Bilateral inguinal hernia repair surgery for the elderly includes anesthesia and disinfection, repair of the hernia area, and suture and bandage. 1. Anesthesia disinfection, bilateral inguinal hernia surgery for general anesthesia, the patient into the anesthesia state after the surgical area of disinfection and cover the sterile towel sheet. 2. Repair hernia area, the hernia of the elderly including hiatal hernia and rectal hernia, first of all, the hernia content is to return to the hernia, and then check the hernia content whether necrosis occurs, if intestinal necrosis occurs, we should carry out intestinal resection anastomosis, the hernia capsule ligature, and then the inguinal canal or the abdominal wall for the repair of the reinforcement. 3. Suture bandage, the surgical incision for suture, dressing bandage after the use of abdominal belt pressure for a period of time. Bilateral inguinal hernia repair surgery for the elderly should be operated by specialized physicians.