Hernia diagnosis without imaging

That’s a difficult quesrion to answer.

Can a femoral hernia be diagnosed without imaging? Yes.

Are most femoral hernias diagnosed without imaging? No.

Femoral hernias are usually small and many are not detected on examination. But if it is diagnosed in exam, it can be correct. There are rare problems that can be misdiagnosed as a femoral hernias. Also, sometimes a low lying inguinal hernia can be misdiagnosed as a femoral hernia.