What's involved in laparoscopic hernia surgery? | Top Doctors (2025)

Laparoscopic hernia surgery is a minimally invasive way to repair hernias using small cuts and a camera-guided approach. It's often preferred for its shorter recovery time, less post-operative pain and quicker return to daily activities. But what exactly does the procedure involve, and what can you expect during recovery?

What is a hernia and why does it need surgery?

A hernia happens when part of an organ or tissue pushes through a weak spot in the surrounding muscle or wall. The most common types include:

• Inguinal hernias (in the groin)
• Umbilical hernias (around the belly button)
• Incisional hernias (through a scar from previous surgery)

While small hernias might not always require immediate surgery, many can worsen over time or cause pain and complications, such as strangulation. Surgery is often the best option for long-term relief and prevention.

What does laparoscopic hernia surgery involve?

Laparoscopic (or keyhole) surgery uses a thin tube with a camera (laparoscope) and surgical instruments inserted through small incisions. The surgeon watches the inside of your body on a screen while repairing the hernia, usually using a mesh to reinforce the weakened area.

There are two main laparoscopic approaches:

• TAPP (transabdominal preperitoneal) repair
• TEP (totally extraperitoneal) repair

The method that’s best for you will be decided by your surgeon, based on your hernia type and medical history.

What are the benefits of the laparoscopic approach?

Compared to traditional open surgery, laparoscopic hernia repair offers several advantages:

• Smaller incisions and less scarring
• Faster recovery and return to normal activities
• Less pain after surgery
• Lower risk of infection
• Better for repairing hernias on both sides (bilateral) at once

It can also be a preferred option for people who’ve had previous hernia surgery or whose hernias have returned.

What is the recovery like?

Most patients can go home the same day or after one night in hospital. Recovery is generally quicker than with open surgery. Here's what to expect:

• Mild soreness or discomfort around the incision sites for a few days.
• Light activity (like walking) is encouraged immediately to aid healing.
• Avoid heavy lifting for at least two to four weeks, depending on your surgeon’s advice.
• Full return to normal activities usually within two weeks, though this may vary.

Your doctor will provide personalised instructions and a follow-up plan.

Are there any risks?

As with any surgery, there are some risks, though complications are uncommon. These may include:

• Bruising or swelling at the surgical site
• Reaction to anaesthesia
• Infection or bleeding
• Recurrence of the hernia
• Injury to nearby structures (very rare)

Your surgeon will explain these risks and how they are minimised during surgery.

Who is suitable for laparoscopic hernia repair?

Not everyone is an ideal candidate. Suitability depends on:

• Your overall health
• The size and location of the hernia
• Whether this is your first repair or a repeat surgery
• Your previous abdominal surgeries

A full consultation and assessment, often including imaging, will help determine if this is the right approach for you.

Getting back to feeling your best

Laparoscopic hernia surgery is a modern and effective option for many patients, helping them recover more comfortably and quickly. With fewer complications and less downtime, it’s become a trusted method of hernia repair when carried out by an experienced surgical team.