Hernia is a common disease in the elderly. However, many patients lack knowledge about hernia disease, and there are many misconceptions that prevent timely treatment for a long time. Many hernia patients are found by chance with a mass in the abdominal wall and a feeling of swelling. The development process of hernia is generally a slow one, starting with more nervousness but appearing from time to time, disappearing mostly automatically after lying down and the symptoms disappearing, and over time the fear becomes indifference, unaware that the disease is slowly worsening. As the disease progresses, the hernia becomes larger and larger, the prolapsed intestinal tube becomes larger and larger, the symptoms become more and more obvious, the discomfort of abdominal cramping or dull pain gradually becomes obvious, and the patient feels inconvenient to move around, so the patient may be reluctant to go out and activities and the quality of life decreases. If the mass suddenly fails to retract and is accompanied by severe pain, the hernia may be ingrown, and once the hernia is ingrown, it has less chance to retract on its own. In most patients, the symptoms will gradually worsen, and if left untreated, it may further develop into a strangulated hernia. At this time, the intestinal canal will become necrotic due to lack of blood flow. If not treated in time, the patient’s life will be endangered, so a hernia should not be ignored and should be treated early. We have seen many misunderstandings and lessons in the treatment of hernia in many patients in the clinic, so we summarize a few points to help patients raise awareness. 1. The attitude towards hernia is indifferent and treatment is not active. There are many patients who think that hernia is not painful and does not delay eating and drinking and does not need treatment, not knowing that the hernia will get bigger and bigger as the disease lengthens and the hole will only get bigger if the broken clothes are not repaired in time. I once saw a patient with a history of only two years, but the hernia was already bigger than a soccer and she could only lie in bed, and it was very difficult to take care of herself, not to mention the quality of life. Once the hernia is ingrown, it will be life-threatening and most of them need emergency surgery, and the risk of surgery will be greatly increased, so surgery should be performed as early as possible. 2. We hope that conservative treatment is effective. Conservative treatment can only temporarily relieve the symptoms, and no medicine or hernia belt can cure hernia, which is a physical defect of the abdominal wall, and surgery is the only way to treat hernia. We have seen many patients with failed injections for hernia treatment, which cost a lot of money and can result in unclear anatomy of the surgical site, making surgery difficult. 3. Fear of surgery. Most hernia patients have never had surgery in their lives and have a fear of surgery. Although surgery is an invasive treatment, most of them only need local anesthesia, and the minimally invasive method we carry out is only 3~4 cm incision, with very little damage and fast recovery, no need for catheterization and fasting, and discharge from hospital 2 days after surgery, and even “day surgery”. 4. Fear of recurrence, modern tension-free hernia repair has significantly reduced the recurrence rate from more than 10% in the past to less than 1% compared with traditional hernia repair. Modern hernia surgery is developing rapidly and there are more than ten new minimally invasive surgical methods. Hernia specialists can choose more reasonable surgical methods according to different patients’ conditions and the recurrence rate of surgery is lower. 5. Fear of foreign body reaction. Modern tension-free hernia repair uses organic materials to repair defects in the abdominal wall, so there is a common concern among hernia patients as to whether this material will cause harm to the body. Most of the repair materials used now are high purity polypropylene materials, which are very inert and should not react chemically with tissues, with good tissue compatibility, and have been used in humans for more than 50 years. 6. Fear of spending money. Hernia mostly occurs in old age, when most patients are already retired and have reduced income, and all repair materials are currently not reimbursable. However, there are many kinds of materials used for hernia repair, and the cheap ones are only a few hundred dollars, which is perfectly acceptable to most patients. Some elderly patients are not willing to inform their families or seek medical advice when they find a mass near their external genitalia, and they just get by with it and suffer in silence. Only when an intussusception occurs do they go to the emergency room, which is not only painful but also has a high risk of surgery and failure. In conclusion, hernia patients should pay attention to hernia, get out of the misunderstanding and treat it early. Modern tension-free hernia repair is a minimally invasive and safe treatment method, and the success rate of hernia repair by hernia specialists is close to 100%.