The conventional method of inguinal hernia repair is via the anterior approach, which requires incision of the tendon membrane of the inguinal region and freeing of the spermatic cord, resulting in a higher incidence of postoperative swelling and pain in the inguinal region. This is its advantage over anterior surgery. In addition, the following features are available: in recurrent hernias, the disrupted anatomy of the inguinal region can be avoided; repair of bilateral hernias can be accomplished with a single incision; concurrent occult hernias can be detected; and in the management of strangulated hiatal and femoral hernias, the strangulated intestinal canal can be easily examined and treated, and bowel resection and intestinal anastomosis can be easily performed. The operation perspective of the trans-lower median incision is completely different from the traditional trans-anterior approach, so this procedure has not yet become widely popular. The procedure is simple, and its operating time is significantly shorter than that of the various transanterior approaches, with a small incision and rapid postoperative recovery.