Hernia recurrence rates vary a lot after hernia surgery. Reports of 90 – 99% success rates are common. Mesh repairs, in many cases, offer a smaller chance of hernia recurrence rate than non-mesh repairs. Unfortunately, some repairs may lead to very high incidence of chronic pain, which can range from 5-15%.
The key is to find a surgeon that performs a lot of hernia surgery. Typically, a high volume surgeon will have better results with or without the use of mesh. Focused hernia clinics or hernia centers sometimes offer a variety of procedures that meet the individual needs of patients. There is no “one size fits all” approach to hernia surgery, and surgeons that specialize in hernias are often able to tailor their approach to each individual patient. Most patients in the United States benefit from mesh hernia surgery. We typically recommend the posterior mesh repair (preperitoneal repair), but some patients may require an anterior mesh approach depending on their medical and surgical history. Some may be good candidates for non-mesh hernia repair. These decisions should be made on an individual basis with your hernia surgeon.