Small Umbilical Hernia Repair Advice

Least invasive option = open.
Least chance of recurrence = mesh
Differences are relatively small, and risks related to mesh are small.
Yes it is confusing, but you still have to decide. Just make sure the surgeon is comfortable with your preferences. And remember, they are YOUR preferences, so don’t get talked in to or out of something that you think is right for you. It may not be the right decision, but it’s your decision. And nobody can predict the future.