Not all hernias require immediate surgery. Learn when a hernia can be monitored and when surgery is advised.
For many people with a hernia diagnosis, the bigger question for them isn’t how the hernia occurred, but whether surgery is essential. While some hernias may not require immediate treatment, others can worsen over time if left unattended.
Understanding when observation is suitable and when intervention may reduce risk helps guide informed decision-making.
Do All Hernias Require Surgery?
The short answer: not always, but often, yes.
A hernia occurs when an internal organ or tissue pushes through a weak spot in the muscle or surrounding tissue. This can happen in the groin (inguinal hernia), abdomen, around the navel, or at the site of a previous surgery.
Some small hernias may be monitored if they are painless and not growing. However, hernias do not heal on their own and usually become larger over time. In certain cases, they can lead to complications such as:
- Incarceration – when the hernia gets stuck and cannot be pushed back in
- Strangulation – when the blood supply is cut off, a life-threatening emergency
If your hernia causes discomfort, affects daily activities, or continues to enlarge, it is usually better to plan for surgery early rather than risk an urgent, emergency situation.
Is Hernia Surgery Safe?
Hernia repair is among the most commonly performed general surgical procedures worldwide. When carried out as a planned procedure by an experienced surgeon, it is generally safe and associated with low complication rates.
From a risk perspective, elective hernia surgery is usually safer than emergency surgery, which may be required if complications develop from an untreated hernia.
The specific approach and suitability for surgery depend on individual factors, including the type of hernia, and should be discussed during a proper medical assessment.
Why Hernias Do Not Heal on Their Own
Unlike muscle strains, a hernia represents a structural weakness in the abdominal wall. Over time, everyday activities such as coughing, lifting, or straining can cause the defect to widen.
As a result, hernias tend to gradually enlarge and may become more symptomatic, increasing the likelihood that treatment will be needed later.
What Happens If I Leave the Hernia Alone?
Some people choose to delay surgery, especially if their hernia is small and symptom-free. While this may be acceptable in the short term, the risk of complications rises over time.
Incarcerated or strangulated hernias can cause severe pain, nausea, vomiting, or bowel obstruction – in these cases, emergency surgery becomes unavoidable.
Planned, elective hernia repair is almost always safer, less stressful and more cost-efficient compared to emergency treatment.
Signs Your Hernia Warrants Further Assessment
It may be time to consider further assessment and advanced intervention if you experience the following accompanying symptoms:
- Persistent or worsening pain
- A visible bulge that is increasing in size
- Difficulty performing normal activities
- Nausea, vomiting, or bowel changes linked to the hernia
Experiencing one or more of these symptoms does not necessarily mean urgent surgery is needed. However, they are signals that your hernia should be reviewed more closely. Early assessment allows potential issues to be identified and addressed in a planned, measured way.
Peace of Mind with Hernia Repair
If you’ve been diagnosed with a hernia, the only definitive cure is surgical repair. Addressing it early helps prevent complications and allows for smoother recovery.
Dr Thomas Ho is an experienced surgeon skilled in laparoscopic and robotic-assisted techniques, offering precise treatment with minimal downtime. Accredited across all private hospitals in Singapore, he provides patients with flexibility and reassurance.
Book a consultation today with our hernia surgeon in Singapore to discuss whether surgery is the right step for your hernia and explore the safest treatment options available.
References:
- Warren, J. A., & Love, M. (2018). Incisional Hernia Repair: Minimally Invasive Approaches. The Surgical clinics of North America, 98(3), 537–559. https://doi.org/10.1016/j.suc.2018.01.008