Open procedure (conventional surgery) The surgeon makes an incision in the groin in order to separate skin, fat, muscle and connective tissue. The rupture is exposed and subsequently closed, either with sutures and strong knots, or with a synthetic net. The patient must relax for several weeks before the wound can be subjected to strain.

Keyhole procedure (minimally invasive surgery) The surgeon makes small incisions in the abdomen, cuts the peritonaeum (the membrane lining the wall of the abdominal cavity) between the windings of the intestine and exposes the groin from the inner side. A synthetic net is drapped around the spermatic cord to cover the hole and fastened to the tissue using metallic clips. Finally the peritonaeum is closed to prevent the intestine from any contacting the clips. It takes days to weeks for the patient to recover his full strength.

Sandwich procedure (minimally invasive surgery) The surgeon uses a small natural slot in the tissue between the skin and the peritonaeum instead of cutting healthy tissue. A camera and special instruments are inserted into the slot to examine the hernia from inside. The surgeon then inserts a thin net to restore the groin's natural structure. The body accepts this reinforcement and fastens the net naturally using its own pressure, thus making sutures, knots and clips superfluous. The tissue recovers very quickly. As a result, the patient can stand up and strain the groin immediately!