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I’ve written this before, but if I was convinced that it was time to get the hernia repaired, I would find somebody that you trust who has had a hernia similar to yours repaired (distinguish between direct and indirect, they’re different), and have that exact procedure done by the same surgeon. Don’t be part of the experimenting that’s going on. There are still recalls happening, on mesh products that have been released to the public, for fundamental flaws in design. They don’t work in the real world.
That was the rationale that I used when I had mine repaired, but my reference person was a surgeon who had had a hernia repaired, but was convinced that the new ways were better. He guided me away from his successful procedure toward the new ways. He meant well but even he didn’t know.