I had an open repair with the ultrapro hernia system (similar to PHS). The recovery was slower than expected and I had pain up to about 2-3 years post op that eventually subsided. It was continually improving throughout that time. I’m now 5-6 years post op and mostly have no symptoms. I might have some slight burning from time to time or a little tightness, but it is quite mild. Ultimately I wouldn’t recommend this mesh type because it’s more mesh than is needed and affects both planes (anterior/posterior). This is in line with most of the recommendations you’ll find from doctors on here. So I’m a bit annoyed at my doctor, but can’t complain too much since it did work out. and NOW I need to figure out what I’m doing on the other side :(. Either going with a Lap TEP or a shouldice.