[notmytarga]

Laparoscopy isn't really how it is done. Laparoscopy type instruments are used to get into the area under the muscles but outside of the peritoneum (the place where the intestines are) . This is called the pre-peritoneal space. If this techniques is used general anesthesia is nessesary.

Most inguinal hernias are repaired using open techniques. If a surgeon tells you that they only do this through the scope - they better have a "center of excellence". Many general surgeons have gone away from the preperitoneal technique - more difficult, more time, general anesthesia, and I belive it has a higher recurrence rate. But if you want it there is likely someone in a large community that will do it this way.

Ask around for general surgeons that are well regared and see who is on most lists - then see them - they will lay it all out. But remember, the anesthesiologist is the most important person in the room, except you!