Hernias are a common medical condition that occurs when an internal organ or tissue pushes through a weak spot in the surrounding muscle or connective tissue. They can manifest in various parts of the body, including the abdomen, groin, and diaphragm. Despite their prevalence, hernias are often surrounded by misconceptions, particularly about their treatment. As a surgeon specializing in gastrointestinal health, I frequently encounter patients who hope their hernia can be "cured" without surgery.

Myth 1: Hernias Can Heal on Their Own

Fact: Hernias Do Not Heal Without Intervention

One of the most pervasive myths is that hernias can resolve themselves over time. Unfortunately, this is not true. Hernias are structural defects that cannot repair on their own. In fact, leaving a hernia untreated may lead to complications such as enlargement of the hernia, pain, or even life-threatening conditions like strangulation, where the blood supply to the herniated tissue is cut off.

While supportive measures, such as wearing a truss or belt, may temporarily relieve symptoms, they do not address the underlying issue. Surgery remains the definitive treatment for hernias.

Myth 2: Lifestyle Changes Can Cure a Hernia

Fact: Lifestyle Changes Help Manage Symptoms but Don’t Cure

Adopting a healthy lifestyle can help manage hernia symptoms and potentially slow their progression. For example, maintaining a healthy weight, avoiding heavy lifting, and treating chronic coughing or constipation can reduce pressure on the affected area.

However, these measures are not a cure. They merely help control symptoms while waiting for surgical intervention. In some cases, delaying surgery may worsen the condition, making the repair more challenging.

Myth 3: Hernias Are Always an Emergency

Fact: Not All Hernias Require Immediate Surgery

While it’s true that hernias can lead to emergencies, such as incarceration or strangulation, not all hernias require urgent surgery. Elective surgical repair is often recommended for asymptomatic or mildly symptomatic hernias to prevent complications.
Emergency surgery is only required when the hernia causes severe pain, nausea, vomiting, or discoloration of the overlying skin—signs that the hernia is strangulated or obstructed.

Myth 4: Non-Surgical Treatments Like Exercises or Herbal Remedies Can Fix Hernias

Fact: Non-Surgical Methods Are Ineffective

I’ve seen patients try various non-surgical approaches, including abdominal exercises, yoga, and herbal remedies, in the hope of avoiding surgery. While these practices may improve overall health, they do not close the hernia defect or strengthen the weakened area sufficiently to prevent the organ from protruding.

Relying on such methods can delay proper treatment and increase the risk of complications.

Modern Surgical Options: Minimally Invasive and Effective

Hernia surgery has evolved significantly, with minimally invasive techniques like laparoscopic and robotic-assisted surgery offering faster recovery times, smaller scars, and less postoperative pain compared to traditional open surgery. These advanced techniques ensure that the hernia is repaired securely, often with the use of mesh to reinforce the weakened area.

As a surgeon, I reassure patients that hernia surgery is highly successful and typically well-tolerated. Most individuals can resume their normal activities within weeks, with a significantly improved quality of life.

The notion of treating hernias without surgery is a myth. While lifestyle modifications and supportive measures may help manage symptoms temporarily, they do not address the root cause. Surgery remains the only effective way to repair hernias and prevent potential complications.

If you suspect you have a hernia, consult a doctor to discuss your symptoms and treatment options. Early diagnosis and timely intervention can make all the difference in ensuring a smooth recovery and preventing complications.

Dr Manoj Ayyappath
Senior Consultant
Surgical Gastroenterology