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Hernia mesh has been and remains somewhat controversial, largely due to the legal ads that are often aired regarding pelvic mesh (unrelated) as well as a prior recall of counterfeit hernia mesh. However, hernia mesh can be appropriate for many patients. Mesh based hernia surgery creates a tension free repair that does not pull on sutures, reducing the likelihood of recurrence in the future. In fact, tension repairs may have recurrence rates up to 50% while a mesh based tension-free repair may have a recurrence rate of lower than 2%. Today, hernia mesh technology has improved by leaps and bounds. Synthetic meshes are lighter and more customized to the patient’s anatomy. There are also a number of new absorbable and biologic meshes that may be suitable for certain patients and circumstances. Even the way we attach mesh to the abdominal muscles has changed. Prior generation permanent titanium tacks, had been replaced by absorbable tacks. Today, self-adhering mesh avoids the use of fixation devices entirely. Most importantly, choosing a very experienced hernia surgeon is the best way to help ensure a safe and successful result. Learn more at: https://www.vipsurg.com/hernias/herni...