Patients often ask me if they need to have surgery to repair their hernia. Generally my answer is that at some point you will need surgery to fix your hernia. Hernias don’t get better on their own. They generally just get larger over time. So a small hernia may take a long time to develop into a larger symptomatic hernia, but usually at some point a person will need a repair to fix that hernia to prevent further complications from occurring, like developing an incarceration.