Procedures › Hernia surgery

Anaesthesia for hernia surgery

This page covers the anaesthetic options, pain relief plan and recovery for hernia repair, whether open or laparoscopic (keyhole). Your own plan is agreed with you before surgery.

Anaesthetic options

For most patients, hernia surgery is performed under a general anaesthetic. This means you are completely asleep and unaware of the operation.

• During laparoscopic (keyhole) repairs, general anaesthesia is required.
• For some open hernia repairs, a spinal or regional block may be suitable, with sedation if needed.

I will discuss the best and safest option with you before surgery, taking into account your health, the type of hernia, and your preferences.

Pain relief plan

Good pain relief helps you move around earlier and recover faster. My usual approach includes:

• Paracetamol and an anti-inflammatory (e.g. celecoxib or ibuprofen) given regularly.
• Stronger pain relief (such as oxycodone, tramadol, or buprenorphine) available if required, usually in small amounts and short-term.
• Laxatives are often recommended to avoid straining after surgery.
• For larger incisional hernia repairs, additional techniques such as nerve blocks or local anaesthetic infusions may be used to reduce pain in the first few days.

Going home and recovery

• Many inguinal hernia repairs are day-case procedures, so you can usually go home the same day.
• Larger incisional repairs may need a short hospital stay.
• You will be given advice on wound care, activity, and pain medicines before discharge.

When to seek help

Contact your GP, surgeon, or the hospital if you develop:

• Severe or worsening pain not controlled by your medicines.
• Fever, redness, or swelling around the wound.
• Vomiting or difficulty passing stool or wind.