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quote drtowfigh:Capricious is an excellent term. And everyone is different in how and when they get symptoms.
You have claimed that magnitude is not a decisive factor in recommending surgery. Do I guess this has limits (when the hernia develops too much, could it damage the nearby organs?)
can we consider symptomatic or little syntomatic a hernia that is painless? perhaps reducible, perhaps even of average magnitude?
A similar hernia, which allows the daily vital functions to be carried out, could be handled without harm?