dissection and atraumatic xation of mesh, we use the preemptive inltration of local anesthetics in the umbilical trocar site, as well as the ilioinguinal block of the aected side. Postoperatively we rec­ommend nonopioid-containing analgesics. Ibuprofen or Cox-2 inhibitors have been perform­ing well in this role. During the hospital stay, which usually lasts about 24 h, we routinely prescribe 400mg of ibuprofen every 8h or a Cox-2 inhibitor in combination with a gastric ulcer prophylaxis. Aer the patient leaves the hospital, we only rec­ommend pain medication as needed. Special atten­tion is needed if unexpectedly high use of pain medication is noted. High need for pain medica­tion should be taken seriously, and relevant com­plications should be excluded. Should the postoperative pain last longer than 3 months, other diagnostic exams may need to be performed, such as orthopedic, urologic, or gynecologic consulta­tion and the investigation of intestinal organs by ultrasound or colonoscopy. Finally, the groin pain can also be somatic pain that is attributed to the groin region.