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What is the best treatment for a hernia? Most hernias will need surgical repair, but not necessarily right away. If you have a small or mild hernia that only comes out occasionally, your healthcare provider may take a wait-and-watch approach to see if it gets much worse. Hernias do tend to worsen over time, which is why providers recommend repairing them Can you fix a hernia without surgery? Hernias don't go away on their own. Only surgery can repair a hernia. Many people are able to delay surgery for months or even years. And some people may never need surgery for a small hernia. Is hernia is a serious problem? If you aren't able to push the hernia in, the contents of the hernia may be trapped (incarcerated) in the abdominal wall. An incarcerated hernia can become strangulated, which cuts off the blood flow to the tissue that's trapped. A strangulated hernia can be life-threatening if it isn't treated.