Hernia surgery under local anesthesia is now commonly and successfully performed around the world and represents a routine procedure. Local anesthesia has numerous advantages over general or regional anesthesia for hernia surgery. It is a safe, simple and effective procedure, with a low frequency of side effects such as cardiovascular instability, nausea, vomiting or urinary retention. Contraindications for local anesthesia are rare and it can be used safely for both younger and older patients. Local anesthesia meets all requirements for day surgery procedures, allows cooperation with the patient during the intervention, accelerates early postoperative recovery and mobilization, while hospitalization lasts just a few hours.

Hernia surgery is performed under step-by-step local infiltration anesthesia. Infiltration anesthesia is performed by injecting a local anesthetic into the tissue to be anesthetized; resulting in an interruption in the transmission of the feeling of pain in a wider or narrower area for a certain period of time. A combination of fast-acting and long-acting anesthetic is mainly used, which provides the patient with 5 hours without pain after the surgery. The anesthesia should be adjusted to each person individually, depending on the patient's age, type of intervention, and patient's sensitivity. Before each surgery under local anesthesia, the patient receives premedication by administering an infusion of sedatives and analgesics so that the patient enters the operating theatre as relaxed as possible.