[Noah930]

I think you're thinking of open versus laparoscopic. The open technique (there are actually a myriad of variations of open techniques) makes an incision over the inguinal ligament in your groin. It's the tried and true method. Usually a piece of mesh is used to "reinforce" the repair. It leaves you with a bigger scar and some more pain during initial recovery.

Laparoscopic herniorrhaphy uses a camera and special instruments through three or four fingertip-sized holes to perform the surgery. A piece of mesh is placed to cover the hernia defect. Benefits are lack of the open incision and less resultant pain. If you're going to have both sides done, it probably will be less painful to have it done laparoscopically. If you've had previous abdominal surgery, it may not be possible to perform the laparoscopic surgery due to scar tissue.

In the end, both types of repair get good results. Both are acceptable ways to do it. I'd pick the surgeon over the particular technique. I did my residency at St. E's, so if you want a recommendation over there let me know.