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Thanks for your usual excellent analysis…I really wish you would join my FB natural health all stars page….this nonsense we run into in the hernia area pervades all of health care….its one big minefield and the only way to avoid it is to rely on super smart folks like yourself without an agenda. I have a bunch of folks like you on my forum…and I have learned a ton in only a few months…useless and dangerous medical procedures…dieatary and supplement advice….exercise….light exposure…approaches to deal with nearly every kind of condition, Regarding your comment on open mesh —that has not been my experience….and i have probed hard.. the only comment I hear back is usually it hurt me for about a week…but not even that badly…and afterward…NOTHING!! It seems inconcievable given what i know about the plastic garbage but that has been my result.