Abstract: Tension-free repair for inguinal hernias has been led into China since 1997 and being promoted quick development of hernia and abdominal wall surgery in China, meanwhile, there are still many problems in the recurrence, chronic pain and patch infection due to irregular operations. In order to solve these problems and improve the diagnosis, treatment and research levels of hernia and abdominal wall surgery, surgeons must pay attention to the basic and clinical technologies, quality control and so on. The studies on etiology of hernia will bring innovative therapy, registration system will contribute to summarize the clinical experiences, and establishment and implementation of quality control of hernia could ensure the effects of diagnosis and treatment. However, there is still a controversy about whether laparoscopic technology on inguinal hernias is minimally invasive surgery or not, though it is safe and effective.