Hernia Repair

A precise surgical procedure to restore anatomical integrity and alleviate discomfort from various hernia types, using advanced techniques for lasting results with minimal recovery time.

A hernia repair is a specialized surgical procedure that addresses weaknesses in the abdominal wall where internal tissues push through, creating a bulge beneath the skin. 

At our practice, we understand that any surgical procedure can cause anxiety. That's why we're committed to providing gentle, expert care while helping you understand each step of your treatment journey. This tailored procedure effectively resolves different types of hernias, including inguinal (groin), ventral (abdominal wall), umbilical (belly button), and incisional (at previous surgical sites) hernias. At Lifetime Surgical, our approach to hernia repair employs advanced minimally invasive techniques whenever appropriate, combined with strategic mesh selection and placement customized to your specific hernia type and anatomy. We focus on tension-free repairs that reduce recurrence rates while positioning incisions for optimal healing and a return to your active lifestyle with minimal restrictions

Indications & Symptoms

You may need hernia repair if you experience:

  • Visible bulge in the abdomen, groin, or around the belly button

  • Bulge that disappears when lying down but reappears when standing or straining

  • Pain or discomfort at the hernia site, especially when lifting, bending, or coughing

  • Increasing size of the hernia over time

  • Sensation of heaviness, pulling, or burning in the affected area

  • Pain that worsens during physical activity

  • Difficulty with bowel movements or urination (in some hernia types)

  • Nausea or vomiting when a hernia becomes incarcerated or strangulated

  • Redness or tenderness over the bulge, indicating potential complications

  • Chronic constipation potentially associated with hernia development

  • Persistent cough potentially contributing to hernia formation

  • History of previous abdominal surgery with weakened tissue at the incision site

Treatment Approach

Our approach to hernia repair combines precision with personalized care tailored to your specific hernia type.

  • For inguinal hernias, we specialize in both open and laparoscopic techniques, often using the Lichtenstein tension-free method or totally extraperitoneal (TEP) approach to minimize post-operative pain. 

  • Ventral and incisional hernias benefit from our expertise in component separation techniques for larger defects.

  • Umbilical hernias may be repaired with or without mesh depending on size and patient factors. 

What sets us apart is our surgeon's expertise in selecting the most appropriate approach based on a comprehensive evaluation of your specific hernia characteristics, lifestyle needs, and medical history. We employ state-of-the-art biologic or synthetic mesh materials when indicated, precisely customized to your anatomy. Our distinctive approach includes advanced pain management protocols combining regional blocks with multimodal medications, resulting in reduced narcotic requirements and faster return to normal activities. For appropriate candidates, we offer same-day discharge with a comprehensive home care program and direct access to our surgical team throughout your recovery.

Recovery Guidance

Immediate Post-Procedure (1-3 days)

  • Take prescribed pain medication as directed, transitioning to over-the-counter options as soon as comfortable

  • Apply ice to the surgical area to reduce swelling (20 minutes on, 20 minutes off)

  • Keep incisions clean and dry for 48 hours, after which gentle showering is permitted

  • Avoid lifting anything heavier than 10 pounds

  • Walk several times daily to promote circulation and prevent complications

  • Expect some bruising and swelling, which typically peaks at 48 hours

  • Support the surgical area with a pillow when coughing or sneezing

  • Wear any prescribed abdominal binder or compression garment as directed

  • Monitor for signs of infection (increased redness, warmth, drainage, fever)

  • Follow your specific dietary recommendations, typically starting with clear liquids and advancing as tolerated

Short-Term Recovery (1-4 weeks)

  • Attend your follow-up appointment (typically 7-14 days after surgery)

  • Continue gentle walking, gradually increasing duration as comfort allows

  • Avoid lifting more than 15-20 pounds for most hernia types (your surgeon will provide specific guidelines)

  • Resume driving once you're off narcotic pain medication and can comfortably turn to check blind spots

  • Return to work based on your surgeon's recommendation and job requirements (typically 1-2 weeks for desk jobs, 4-6 weeks for physical labor)

  • Continue wearing compression garments if recommended

  • Manage constipation proactively with adequate hydration, fiber, and stool softeners if needed

  • Expect some pulling or tightness in the repair area, which gradually improves

  • Begin incorporating more normal daily activities as comfort allows

  • Report any concerns about the incision site or increasing pain promptly

Long-Term Expectations

  • Most patients can return to full activities without restrictions after 6-8 weeks

  • The minimally visible surgical site typically fades significantly over 6-12 months

  • Athletic activities and heavy lifting can usually resume after 8 weeks with proper technique

  • Risk of recurrence is significantly reduced with proper surgical technique and following activity restrictions

  • Regular follow-up with your surgeon is recommended to ensure ongoing success of the repair

  • Core-strengthening exercises may be recommended once fully healed (typically after 8 weeks)

  • Most patients experience complete resolution of hernia-related discomfort

  • Long-term outcomes are excellent with modern surgical techniques and materials

  • Some patients report occasional mild weather-related discomfort at the surgical site

  • Annual wellness exams help ensure continued integrity of the repair

Potential Risks

Common Side Effects

  • Temporary pain or discomfort at the surgical site

  • Mild bruising or swelling in the repair area

  • Refined surgical mark that typically fades over time

  • Temporary numbness around the incision site

  • Sensation of tightness or pulling with certain movements

  • Seroma (fluid collection) that typically resolves without intervention

  • Mild scrotal swelling in males after inguinal hernia repair

Less Common Complications

  • Surgical site infection (occurring in less than 2% of cases)

  • Recurrence of the hernia (varies by type, approximately 1-5%)

  • Chronic pain syndrome (more common in inguinal repairs, affecting 1-5% of patients)

  • Mesh-related complications such as infection or migration

  • Injury to nearby structures (blood vessels, nerves, or organs)

  • Urinary retention, particularly after inguinal hernia repair

  • Testicular pain or swelling in males after inguinal repair

  • Adhesions or bowel obstruction (rare, more common after open abdominal repairs)

  • Allergic reaction to mesh material (extremely rare)

When to Seek Immediate Medical Attention

  • Fever over 101°F (38.3°C)

  • Excessive bleeding or large bruise that continues to expand

  • Severe pain not controlled by prescribed medication

  • Signs of infection (increasing redness, warmth, pus, or streaking)

  • Persistent nausea or vomiting

  • Inability to urinate within 8 hours of surgery

  • Significant swelling beyond what was expected

  • Shortness of breath or chest pain

  • Redness and pain in the calf (potential blood clot)

  • Reopening of the incision or exposure of mesh

Experience Speaks

Dr. Nguyen’s Insights: Hernias

Benefit from Dr. Nguyen's specialized expertise in innovative hernia repair techniques as he addresses your most important questions about treatment and recovery.
What is the expected recovery timeline for hernia surgery?
  • Most of my patients can expect a recovery period of 4 to 6 weeks from the time of surgery, though this timeline can vary based on several individual factors and the specific type of hernia repair performed.

  • Many patients feel significantly better within the first week and can return to light activities and desk work within 7 to 10 days. However, complete healing takes time, which is why I recommend the full 4 to 6 weeks before resuming heavy lifting or strenuous physical activities.

  • It's important to understand that recovery happens in stages. You'll likely feel well enough for normal daily activities much sooner than the 6-week mark, but your body continues strengthening internally throughout this entire period. The sutures need adequate time to integrate properly with your tissue, and rushing back to full activity too early can compromise your repair.

  • Factors that can influence where you fall within this timeline include the size and location of your hernia, your overall health, your age, and how well you follow post-operative instructions. Larger hernias or those requiring more complex repairs may lean toward the longer end of the recovery spectrum.

  • I recommend listening to your body and being patient with the healing process. Most patients are pleasantly surprised by how quickly they feel better, but it's mostly the internal healing that takes the full 4 to 6 weeks to complete.

What key factors does Dr. Nguyen emphasize for successful hernia repair recovery?
  • I always emphasize three key strategies that can significantly improve your hernia surgery experience and recovery outcomes. First, if possible, losing as much weight as you can before surgery makes a tremendous difference. Excess weight puts additional strain on the repair site and can complicate both the surgical procedure and healing process. Even modest weight loss can reduce surgical risks, improve wound healing, and decrease the likelihood of hernia recurrence.

  • Second, prioritizing excellent nutrition—particularly adequate protein intake—is crucial for optimal healing. Protein is the building block your body needs to repair tissues, strengthen the surgical site, and support your immune system during recovery. I recommend focusing on lean proteins like chicken, fish, eggs, and legumes both before and after surgery. Good nutrition also helps maintain your energy levels and overall strength during the recovery period.

  • Third, gentle movement and early mobilization are essential, even when you're feeling uncomfortable initially. Getting up and walking around as much as you can tolerate helps prevent blood clots, reduces the risk of pneumonia, minimizes gas buildup that can cause discomfort, and actually promotes faster healing. Start with short walks around your home and gradually increase activity as you feel stronger.

  • These three foundations—achieving a healthier weight beforehand, maintaining excellent nutrition, and staying appropriately active—work together to give you the best possible outcome. Patients who focus on these areas tend to have smoother recoveries, fewer complications, and stronger, more durable repairs that stand the test of time.

What factors could potentially slow down recovery from hernia surgery?
  • Several factors can influence your hernia surgery recovery timeline, and understanding these helps us create the most effective healing plan for your individual situation. Your overall health status is the primary predictor of recovery speed—patients managing multiple medical conditions, taking certain medications, or dealing with compromised immune systems may require additional time and specialized care during their healing process.

  • Obesity presents particular challenges for hernia surgery recovery. Excess weight increases tension on the repair site, can slow wound healing, and makes early mobilization more difficult—yet movement remains crucial for preventing complications. Additionally, patients with higher BMIs face increased risks of infection and hernia recurrence, which is why I strongly encourage weight loss before surgery whenever possible.

  • Respiratory conditions like asthma or COPD deserve special attention in hernia recovery planning. These conditions can affect your ability to cough effectively and clear secretions after surgery, potentially increasing the risk of pneumonia. They may also make the deep breathing exercises we recommend more challenging, yet these exercises are important for maintaining good lung function during recovery.

  • The encouraging aspect is that most of these factors can be addressed proactively. We often work with patients before surgery to optimize their health conditions, coordinate with specialists like pulmonologists when needed, and develop customized recovery protocols. Some patients may benefit from additional respiratory therapy, modified activity plans, or extended monitoring periods.

  • By identifying these factors ahead of time and planning accordingly, we can often minimize their impact on your recovery. It may simply mean taking a more careful, individualized approach to ensure you heal properly and achieve the best long-term results.

What is the frequency rate of hernia recurrence?
  • Hernia recurrence rates vary significantly based on several important factors, typically ranging from 3% to 20% depending on the patient's individual circumstances and the specific repair technique used. This wide range reflects the complexity of hernia surgery and why the surgeon’s expertise and treatment approaches are so important.

  • In my practice, I typically favor open, non-mesh repair techniques whenever possible. While mesh repairs are commonly discussed, I've found that carefully performed tissue-based repairs often provide excellent long-term outcomes without the potential complications that can sometimes arise with mesh. This non-mesh approach relies on your body's own tissue to create a strong, natural repair.

  • The success of any hernia repair—whether mesh or non-mesh—depends heavily on patient-specific factors. Conditions that can increase recurrence risk include obesity, chronic coughing, heavy lifting, smoking, diabetes, and poor tissue quality at the repair site. This is why I emphasize pre-operative optimization, including weight loss when appropriate and addressing any underlying health conditions.

  • My approach focuses on selecting the repair technique that's most appropriate for your specific hernia characteristics, overall health, and lifestyle factors. For many patients, a well-executed open repair using your own tissue provides a durable solution with lower risk of the complications that can sometimes occur with foreign materials.

  • During your consultation, I'll explain which approach I recommend for your particular situation and provide a more personalized estimate of success rates based on your specific hernia type and health status. The goal is always to achieve the strongest, most durable repair while minimizing risks and complications.

What is the typical cost range for hernia surgery, and what impacts pricing?
  • The cost structure for hernia surgery depends primarily on your insurance coverage and the specific type of repair needed. Most hernia surgeries are covered through insurance, provided it's a true hernia rather than a sports hernia, which insurance companies may classify differently. When insurance covers the procedure, your out-of-pocket responsibility will vary based on your specific insurance plan's deductible, co-pay, and whether you've met your annual out-of-pocket maximum.

  • For patients who choose self-pay options or don't have insurance coverage, hernia surgery costs typically range between $8,000 to $15,000. This range exists because costs are not fixed—they're determined by several important factors specific to your case.

  • The primary cost variables include the complexity of the operation needed, the size and location of your hernia, and the type of repair technique used. Larger or more complex hernias that require extensive reconstruction will generally fall toward the higher end of the cost range, while smaller, straightforward repairs tend to be less expensive.

  • Additionally, the choice between different repair approaches—whether using mesh materials, performing tissue-based repairs, or utilizing specialized techniques—can influence the overall cost. In my practice, I generally prefer the open, no-mesh method. However, I focus on selecting the most appropriate repair method for your specific situation rather than letting cost drive the decision, but I'll always discuss the financial implications of different approaches during our consultation.

What to Expect When You Choose Us

From your first consultation through your complete recovery, we provide:

  • Thorough evaluation and explanation of your condition

  • Clear discussion of all treatment options, including non-surgical alternatives when appropriate

  • Detailed pre-operative instructions to help you prepare

  • Compassionate care during your hospital stay or outpatient procedure

  • Comprehensive follow-up care and support during recovery

  • Ongoing availability to address questions or concerns

We understand that facing any surgery can be intimidating, but you don't have to navigate this journey alone. Our team is committed to providing expert care with a personal touch, ensuring you feel supported, informed, and confident every step of the way.

Your health and wellbeing are our highest priorities, and we're honored to be part of your care team.

Why Choose Laparoscopic Surgery?

All our laparoscopic procedures are performed by our highly trained surgical team using state-of-the-art equipment and techniques.

We're committed to providing you with the most advanced, minimally invasive options because we believe you deserve:

  • Less pain after surgery

  • Shorter hospital stays

  • Faster return to work and activities you enjoy

  • Smaller, less visible scars

  • Lower risk of complications

  • Better overall outcomes

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About

Dr. Richard Nguyen

Dr. Richard Nguyen is a board-certified General Surgeon with over 20 years of surgical expertise and fellowship training in Minimally Invasive and Bariatric Surgery from Vanderbilt University. Since establishing his practice in San Jose in 2007, he has pioneered innovative surgical techniques, including single-incision laparoscopic procedures and mastery of the da Vinci Robotic Surgical System. Beyond his acclaimed bariatric surgery practice, he has earned national recognition for his specialized expertise in both non-mesh and advanced mesh hernia repairs, while also serving as a critical approach surgeon for anterior spine access procedures. Dr. Nguyen combines technical precision with personalized care across multiple premier facilities throughout the South Bay Area.

We are affiliated with the following Hospitals/Surgical Centers:

Good Samaritan Hospital, San Jose, CA
Los Gatos Community Hospital-El Camino, Los Gatos, CA
Silicon Valley Surgery Center, Los Gatos. CA
Fremont Surgery Center, Fremont, CA
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Real Clients, Real Results

Hear directly from patients whose lives have been transformed through Dr. Nguyen's surgical expertise and compassionate care. Their success stories inspire our work every day.
Crystal S. smiling one year after gastric sleeve surgery
Crystal S.

I would refer Doctor Nguyen to anyone, in fact I have and they have all had the same experience as me. He is truly great. I owe all my success to Doctor Nguyen and I thank him for all the work he has done for me and continues to do so. He is extremely amazing, and I am very grateful to him.

Lisa Q. standing outdoors following 100‑lb weight loss
Lisa Q.

At 50, I now have a life I had only dreamed of a year before. My body tells me if I am done eating. This surgery is a tool that I have used to the fullest. It is not an easy way out. It still took work. But I honestly know that I would not be living this amazing new life if I didn’t step forward to embrace this life-saving surgery.

Rickie W. celebrating diabetes remission post‑bypass
Rickie W.

Dr. Nguyen has changed my life completely. I feel so much better and I also feel like I’ve got control of my life again…I had high blood pressure, diabetes and cholesterol. I took at least 5 different medications for the past 30 years. NOW, after surgery I take no medications only vitamins!

Your Next Step

Wondering which surgical procedure might be right for your condition? We're here to help you understand your treatment options and develop a personalized surgical plan. Contact our office today to schedule a consultation.

Your path to improved health may be more achievable than you think—with advanced surgical techniques leading to faster recovery, reduced complications, and a significantly enhanced quality of life.

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