“The type of hernia repair surgery performed should not be determined by the surgeon’s preference and prescribed standard surgical approach, but should be determined in the context of the patient’s own condition and hernia staging.” “Surgeons should have a variety of hernia repair procedures at their disposal and choose the appropriate procedure based on each patient’s individual risk factors and hernia anatomy.” 1 year old baby boy with a giant right scrotal hernia of 1 year. “The baby was premature and was born with an inguinal hernia. He had used various methods but it didn’t get better, instead it was getting bigger and bigger. Usually spits up a lot and has difficulty in relieving bowel movements.” Treatment: open minimally invasive high hernia sac ligation. 9 year old girl with left inguinal hernia for 7 years. “When she was 2 years old, she found that the left labia became bigger, we were worried that anesthesia was not good for the child, we never had surgery, and we didn’t dare to do physical exercise.” Treatment: minimally invasive hernioscopic surgery. Intraoperative diagnosis of contralateral cryptogenic hernia was confirmed and one incision cured bilateral inguinal hernia. 4-year-old boy with bilateral inguinal hernias for 3 years. “Had inguinal hernias since childhood, always hoped he would get better on his own, incarcerated emergency return 2 weeks ago.” Treatment: single-port laparoscopic hernia sac high ligation, one puncture hole to cure bilateral inguinal hernia at the same time. [Commentary] Pediatric inguinal hernia patients cover infants to adolescents with different disease characteristics at different developmental stages. In infants with unilateral inguinal hernias, open minimally invasive surgery is safe and effective and avoids the need for general anesthesia for tracheal intubation. Bilateral pediatric inguinal hernias are minimally invasive with single-port laparoscopic surgery. In adolescents who have already developed, the internal ring is repaired at the same time as the high hernia sac is ligated to reduce the risk of recurrence. Hernioscopic surgery has the advantages of both open and laparoscopic surgery. Mr. Wang, 28 years old, had a right inguinal hernia for 27 years. “The hernia is getting bigger and bigger still in constant pain, affecting my life.” Treatment: Shouldice patchless hernia repair. Ms. Wu, 29 years old, right inguinal hernia for 2 years. “The hernia appeared shortly after pregnancy and I struggled with it throughout my pregnancy. Wanted to have a second child, but was afraid to go through it again.” Treatment: biopatch hernia repair. Mr. Zhang, 22 years old, discovered an inguinal hernia 1 week ago. “Never knew about hernia, occasionally a small bag would bulge under the stomach, not painful, not itchy, it would disappear by itself in a while.” Treatment: withhold surgery, continue observation, learn preventive measures and methods of maneuvering back. [Comment] For young inguinal hernia patients with fertility requirements, patchless hernia repair is the first choice, and the use of synthetic patches should be avoided as much as possible. Women who are planning to become pregnant should heal their inguinal hernia first to avoid the risk of pregnancy. Clinical observation is one of the options for patients without clinical symptoms. Mr. Ma, 97 years old, had a left inguinal hernia for 20 years. “Yesterday after coughing the hernia bulged out and couldn’t go back on its own, it became more and more painful with nausea and vomiting.” Treatment: Bassini patchless hernia repair. Emergency surgery for incarcerated inguinal hernia with intestinal obstruction, resection of necrotic small bowel and simple surgical repair of the defect. Mr. Liao, 64 years old, had a right inguinal hernia for 8 years and a left inguinal hernia for 1 week. “Diagnosed hernia for 8 years and kept putting it off. Now it keeps falling out and coming out on the left side, and I can’t relieve myself to urinate.” Treatment: laparoscopic bilateral hernia repair. Bilateral direct inguinal hernia in an elderly male with bladder slipping into the hernia sac. Ms. Lee, 52 years old, had a right inguinal hernia for 3 weeks. “I had a hernia when I was a child, and it cleared up on its own. Recently a bag came out again at the base of the thigh and it hurts when I walk.” Treatment: patch hernia repair under local anesthesia. Inguinal hernia combined with femoral hernia in a middle-aged woman. [Comment] Middle-aged and elderly patients with inguinal hernia, local anesthesia surgery has little effect on the organism, no fasting, no urinary catheter insertion, and early postoperative recovery. Laparoscopic hernia repair is most suitable for bilateral inguinal hernia and recurrent hernia. Female patients have significantly more femoral hernias than males, and the surgery is performed to repair the femoral ring at the same time. China’s first hernia surgeon group was founded by hernia surgeon Bao Yuke and pediatric surgeon Tong Xuebo, together with outstanding hernia surgeons from home and abroad. The hernia surgeons group has a hernia treatment base in Beijing and a hernia treatment base in Shanghai, which provides: patchless hernia repair; patch hernia repair; laparoscopic hernia surgery; hernioscopic minimally invasive surgery;