Hello,my name is Brian and i am an American living in the uk.I was diagnosed with a right inguinal hernia in nov 2020,after reading about Mesh and talking to several people about the problems they had with their experiences with this procedure i decided this was not for me.What with the lockdown and operations cancelled here i did not get my Hernia fixed until 10 months later. After much resherch i went to Cottbus in Germany and had a Shouldice repair performed by Dr Andreas Koch using 4 layers of permanent sutures due to my age 64, no pain at all now. If you live in the US, there is a surgeon in Sarasota, Florida, Dr Jonathan Yunis who is very experienced as well.