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Surgery VS Watchful Waiting
First: it is much more likely that you–or anyone–have improvement than chronic pain after hernia repair–even those with pain preoperatively.
At this point, we don’t have a good way to know prior to surgery if any particular person will do well. Dr Ramshaw is dedicating his career to finding this out.
To answer your two questions: we don’t know. Medicine is an Inexact science and a bit of art. We just don’t know enough to be able to answer you and therefore perfectly tailor your exercise to be the best for your situation. Yes, hernias can have intermittent pain. Why? We don’t know.