[Women with groin hernias should be referred to surgery]

In females, approximately 75% of groin hernias are inguinal hernias, and 25% are femoral. However, all groin hernias in women should be considered potential femoral hernias due to the difficult preoperative diagnosis of hernia type and the high incidence of femoral hernias. Complications following an untreated femoral hernia are unacceptable, which is why, watchful waiting is not recommended in women. Timely repair is desirable, and the laparoscopic approach is recommended due to lower recurrence rates and fewer femoral recurrences than in open repair methods.