Although the use of alloplastic mesh is a com­monplace in more economically developed coun­tries, in developing countries the cost of mesh often prohibits its use. In situations, where com­mercial material is not available or not afford­able, large-pore high-density polyethylene mosquito net has been used as an alternative [141–148]. It has been found to have a similar microscopic structure to the commercially avail­able large-pore meshes (Fig.6.9) and has compa­rable bursting forces [149]. In two clinical trials assessing the use of mosquito net compared to a commercial hernia mesh, there was no signicant difference in the clinical short-term outcome or in the surgeons’ comfort in handling the two dif­ferent materials [141, 143]. The price of the