New Approaches in the Treatment of Inguinal Hernias Today, the surgical treatment of an inguinal hernia can not be considered just a simple suture of the edges of the parietal defect. Considering the data presented in the literature, we emphasize the main features of the most frequently used interventions of treating inguinal hernias. An academic classification of the surgical techniques would be: open surgical procedures with tension suture (open “tension” repair); “no tension” open surgical procedures (open “tension-free” repair); mini-invasive surgical procedures; and laparoscopic interventions. Each of these procedures can be further classified as prosthetic or non-prosthetic depending on whether synthetic or biological prostheses are used.