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Hernia: do I really need surgery? Your questions answered

A bulge in the groin or around the navel is common — and confusing. Here's a plain-language guide to what a hernia is and how it's treated.

15 Jun 2026 4 min readBy the consultants at Mynah Speciality Clinic

A hernia is a weakness in the abdominal wall through which tissue pushes out, causing a visible bulge. It often appears when coughing, lifting or standing, and may disappear when lying down.

Types we see most often

  • Inguinal hernia (groin) — the most common, especially in men
  • Umbilical hernia (navel) — common in babies and after pregnancy
  • Incisional hernia — at the site of a previous operation
  • Hiatus hernia — internal, causing acid reflux rather than a bulge

Does a hernia go away on its own?

No. In adults, a hernia does not heal by itself and usually enlarges slowly over time. Trusses and belts can ease discomfort but do not cure it.

When surgery is recommended

Most adult hernias are repaired surgically because of the small but real risk of the tissue becoming trapped (incarceration) or losing its blood supply (strangulation), which is an emergency. The timing can be planned around your work and family, unless the hernia is painful or cannot be pushed back — in which case, come the same day.

Laparoscopic (keyhole) repair

Where suitable, we recommend laparoscopic mesh repair: three small cuts, less post-operative pain, quicker return to daily activity and a lower chance of recurrence. Many patients go home the same or next day.

Umbilical hernias in children

These are different: most close on their own by age 4–5 and rarely need surgery unless they are large or persist. We monitor rather than operate.

This article is for general information and does not replace an individual consultation. If you are worried about your child or yourself, please book an appointment.

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