Umbilical Hernia Repair in San Jose & Los Gatos, CA

Minimally Invasive Belly Button Hernia Surgery

An umbilical hernia develops when tissue — typically a portion of the intestine or fatty tissue — pushes through a weakness in the abdominal wall near the belly button. Adult umbilical hernias do not self-heal and require surgical repair. Dr. Richard Nguyen at Lifetime Surgical performs minimally invasive umbilical hernia repair with outpatient procedures and rapid recovery times.

What Causes an Umbilical Hernia in Adults?

In adults, the abdominal muscles around the navel can weaken due to several factors:

  • Obesity or significant weight gain
  • Multiple pregnancies (the abdomen stretches repeatedly)
  • Ascites (fluid accumulation in the abdomen)
  • Prior abdominal surgery near the navel
  • Chronic straining — heavy lifting, persistent coughing, or constipation

Umbilical hernias affect men and women roughly equally, though women who have had multiple pregnancies are at higher risk.

Symptoms of an Umbilical Hernia

Adult umbilical hernias typically present with:

  • A noticeable bulge or soft lump at or near the belly button
  • Discomfort, tenderness, or aching around the navel — especially when standing, coughing, or lifting
  • A bulge that may enlarge with activity and reduce when lying flat
  • Skin discoloration or increased firmness of the bulge (a sign of incarceration)
⚠ Emergency Warning: Sudden severe pain, inability to push the hernia back in, nausea, or vomiting are signs of strangulation. Go to the emergency room immediately.

Minimally Invasive Repair: Laparoscopic & Robotic Options

Dr. Nguyen tailors the repair approach based on hernia size, prior surgical history, and your overall health.

Small Umbilical Hernias (under 1–2 cm)

Small defects are often repaired with a simple primary closure through a small incision at or below the navel. This is a straightforward outpatient procedure with an excellent prognosis.

Advantages of Minimally Invasive Repair

Smaller scars with better cosmetic results around the navel
Less post-operative pain than open repair
Lower risk of infection
Same-day discharge in most cases
Faster return to normal activities

What to Expect on Surgery Day

Umbilical hernia repair is an outpatient procedure performed under general anesthesia. The operation typically takes 30–60 minutes. You will go home the same day and will need a responsible adult to drive you. Fast for 8 hours before surgery and follow Dr. Nguyen's pre-operative instructions regarding medications.

Recovery Timeline

Day 1–2Rest recommended; gentle walking encouraged
Week 1Most patients manage well with over-the-counter pain relievers
Week 1–2Return to desk work and light activities
Week 4–6Return to exercise, lifting, and strenuous work
BathingKeep incisions dry for 48 hours; showering permitted after that

Cost & Insurance

When an umbilical hernia is symptomatic, most insurance plans cover surgical repair as a medically necessary procedure. Lifetime Surgical accepts approximately 20 insurance plans. Call 408-850-0176 to verify your benefits before your consultation. For cosmetic repairs of asymptomatic hernias, self-pay pricing is available — we will provide a transparent estimate at your visit.

Frequently Asked Questions

Does an umbilical hernia always need surgery?

Small, truly asymptomatic umbilical hernias in adults can sometimes be monitored. However, unlike in children, adult umbilical hernias will not close on their own and carry a real risk of incarceration. Most physicians recommend repair before symptoms worsen or complications develop.

Will I have a visible scar after umbilical hernia repair?

Dr. Nguyen places incisions strategically — often within or just below the navel — to minimize visible scarring. Robotic and laparoscopic approaches use multiple very small incisions rather than one large cut, further improving cosmetic outcomes.

Can I have a tummy tuck and hernia repair at the same time?

In some cases, umbilical hernia repair can be combined with an abdominoplasty (tummy tuck). This is a discussion best had with both your general surgeon and plastic surgeon. Contact our office to explore whether a combined procedure is appropriate for your situation.

What happens if I don’t treat my umbilical hernia?

Untreated hernias tend to enlarge over time. The greatest risk is incarceration (trapped bowel) or strangulation (cut-off blood supply), both of which require emergency surgery. Emergency repair carries significantly higher complication rates than elective repair — which is why early treatment is recommended.

Schedule Your Consultation

If you’ve noticed a bulge near your belly button or are experiencing abdominal discomfort, schedule a consultation with Dr. Richard Nguyen at Lifetime Surgical. We see patients at our San Jose and Los Gatos offices.