The main causes of inguinal hernia formation are weakness of the abdominal wall tissue and increased intra-abdominal pressure. Patients with renal insufficiency are more likely to develop inguinal hernias because of the long duration of the disease, high protein loss, and increased intra-abdominal pressure due to intra-abdominal dialysis. After the formation of inguinal hernia, reintroduction of intraperitoneal dialysis often causes untold pain to the patient and increases the risk of intestinal obstruction and intestinal necrosis due to hernia impaction. The only definitive treatment for inguinal hernia is surgery with high ligation of the hernia sac, hernioplasty or patch repair. Previously, due to the high risks associated with surgery such as infection, recurrence and bleeding, patients were afraid, doctors were worried, surgery was hopeless and painful! Many patients had to switch to hemodialysis, or undergo abdominal dialysis in fear of painful torture! In recent years, with the improvement of surgical methods and the update of medical materials, the indications for inguinal hernia patch repair have been expanded, safety has been further improved, operating time has been shortened, and surgical complications have become rare. As long as the surgical approach is correct and the patch is chosen appropriately, abdominal dialysis can be performed the next day after surgery, without the need for temporary hemodialysis. Therefore, patients with inguinal hernia complicated by peritoneal dialysis do not need to endure unnecessary pain. With surgical treatment, the pain can be removed and the surgical risks are far from imagined.