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Figuring out the cause of post-inguinal hernia repair pain is a complex scenario. Nerve pain has a very specific distribution of pain, depending on the nerve. If a nerve block of that specific nerve does not help with the pain, then it’s most likely not the nerve. Neurectomy should not be taken lightly. In my opinion, all other viable options should be considered and/or attempted prior to committing to cutting the nerve. There is about a 5% risk of neuroma and/or chronic nerve pain with neurectomy.