1.Can I have surgery for hypertension and coronary artery disease? A: Absolutely. The use of local anesthesia instead of the usual lumbar anesthesia makes hernia surgery basically independent of the patient’s physical condition, so even patients with hypertension and even heart disease can be operated on. In fact, patients with diabetes and even those who have had cardiovascular disease can also undergo surgery. The Union Hospital was the first in Hubei Province to perform tension-free hernia repair under local anesthesia and has accumulated considerable experience in this area. 2.What are the advantages of tension-free hernia repair under local anesthesia over the previous lumbar anesthesia surgery? A: (1) There is no need to fast before surgery to avoid the pain of hunger. (2) The cardiovascular impact of local anesthesia is small, especially for patients with hypertension and coronary artery disease. (3) Early postoperative activities can be removed from bed, reducing postoperative complications such as urinary retention. (4) Patients recover quickly and have a short hospital stay, saving hospitalization costs. It has become a routine surgical treatment for inguinal hernia because of its low pain, quick recovery (discharge in 2-3 days), low cost, low injury, wide range of indications (elderly patients who previously could not tolerate surgery have the opportunity to undergo surgery), and low recurrence rate. Over the years, it has cured a large number of patients suffering from hernia and has been unanimously affirmed by patients.