A number of patients and even physicians outside of general surgery are troubled by the choice of laparoscopy for various procedures, for example, in the choice of surgical modality for hernia repair, which does seem to be a problem. We believe that the use of open or laparoscopic hernia repair has its own advantages and disadvantages, and each has its own relative indications: 1. The original intention of laparoscopic surgery is to have a small incision, aesthetic appearance and fast recovery, but there are three small incisions and they are in visible locations; they require general anesthesia, which is riskier and therefore the recovery time is similar; in theory, it is minimally invasive, but in fact there are as many separations and general anesthesia so it is a little more traumatic, and in fact in hernia repair In fact, in hernia repair, the concept of minimally invasive laparoscopy means that the individual incisions are small; the cost is more than twice that of local anesthesia hernia repair; and the recurrence rate is theoretically superior but slightly higher than that of direct suture fixation. For bilateral hernia and recurrent hernia after open surgical approach, laparoscopy is more suitable. The incision is relatively long but only 4-5cm, with similar recovery time; only local anesthesia is needed, which is much safer; practically minimally invasive, because the anesthesia trauma is small and the surgical trauma is similar; much less cost; suture under direct vision, which is more solid, with lower recurrence rate than laparoscopy in China and slightly higher pain ratio (which is the only disadvantage of open surgery). . All things considered, primary hernias are suitable for open surgery without the use of laparoscopy. Regardless of the surgical modality, all of them are constantly overcoming their own shortcomings and improving. Currently, more and more open hernia repair surgeries under local anesthesia use smaller incisions and less sutures for preperitoneal repair, further overcoming the shortcomings, however, laparoscopy is currently unable to avoid the inherent complications of general anesthesia, relatively high risks, absolutely high costs, etc.