Inguinal herniorrhaphy in a health center

39 selected patients had their inguinal herniae repaired on 41 separate occasions in a health center. Local anaesthesia allowed adequate painfree surgery when supplemented with Diazepam and Pentazocin. All patients could return to their own homes within 6 hours. With an observation time of between one month and six years no recurrences have so far been observed. Apart from a mild post-operative pain, there were no complications. All returned to their normal employment after 5 to 32 days (average 20 days) depending on occupational demands. The pros and cons of out-patient surgery under local anaesthesia are discussed.