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About Hernias

We want you to return to health as soon as possible.

We understand that being diagnosed with a hernia can be scary and stressful. You probably have a lot of questions and some anxiety. This guide is designed to help you understand hernias, common terms used with hernias, how hernias are diagnosed, what hernia surgery is appropriate and what to expect with surgery. Your surgeon will go into more detail regarding your specific situation. Our goal at The PATCH Institute is to arm you with information, provide you with the best experience, and give you the best results.

A hernia occurs when the inside layers of the abdominal wall have weakened, resulting in a bulge or tear. In the same way that an inner tube pushes through a damaged tire, the inner lining of the abdomen pushes through the weakened area of the abdominal wall to form a small balloon-like sac.

The weakness may be present at birth, can be caused by wear and tear of daily living, or by surgeries.

Men, women and children of all ages can get a hernia.

A hernia does not get better over time, nor will it go away by itself.

The wall of the abdomen has natural areas of potential weakness. Hernias can develop at these areas.

Anyone can develop a hernia at any age.

Surgeries that require cutting through the abdominal wall can also create weaknesses and hernias.

The common areas where hernias occur are in the groin (inguinal), belly button (umbilical), and the site of a previous operation (incisional).

You may notice a bulge under the skin.

You may feel pain when you cough, lift heavy objects, strain during bowel movements or urination, or during prolonged standing or sitting.

Some hernias do not cause pain or a bulge, and may be discovered during CT or MRI, or during routine physical exam.

You should always have a hernia evaluated by a doctor. The doctor will help you determine if surgery is necessary and if surgery is safe in your situation.

You should have surgery if the hernia is enlarging rapidly, causing pain or limiting the activities you do normally.

You should have it fixed, if you’ve had an intestinal blockage due to a hernia.

Hernias that aren’t causing pain, intestinal blockage and aren’t enlarging can sometimes be observed. Consult your doctor.

A hernia repair usually involves two steps:

  1. Closing the hole or weakened area
  2. Applying mesh to reinforce the repair

Repairs can be accomplished with open, laparoscopic, robotic or a combination of techniques. Each technique has its pros and cons. Usually repairs using small incisions, such as laparoscopic or robotic, lead to faster recovery and less complications.

Larger or recurrent hernias can be very complex and require a hernia specialist to obtain the best results. The hernia specialist will have more knowledge, tools, techniques and skills to tailor the best operation to your situation.

Dr. Rockson Liu is One of the Best Hernia Surgeons in the United States

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David Miller profile picture
David Miller
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Dr. Liu was recommended by my PCP as a surgeon to repair my inguinal hernia. I went online to get more information about him and found a link to a video of him performing the same type of surgery robotically. I was totally impressed. He was professional on every level, yet reassuring. The procedure was performed flawlessly, with minimal abdominal openings that soon healed, leaving no trace. I resumed normal activities in very short order, and highly recommend Dr. Liu for any surgeries that fall within his scope of expertise. All in all, a very positive experience.
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Maria Leon profile picture
Maria Leon
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He is an absolute amazing Surgeon I was blessed to have him do my surgery on 3 hernias and my intestines my last surgery almost killed me but this time it was great thank you so much Dr.Liu for helping me with a better quality of life
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Shannon Myers profile picture
Shannon Myers
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When it came time to address a second inguinal hernia, my research led me to Dr. Liu. The initial consultation confirmed that he was a great choice--professional, friendly, and clearly an experienced leader in the field. Dr. Liu executed the robotic surgery perfectly and the surgery team at Alta Bates Summit Medical Center was amazing. I woke up from surgery feeling great and experienced virtually no pain throughout the entire healing process which concluded in the exact time frame the team indicated I should expect. I am so grateful to Dr. Liu and the team he works with for the excellent care I received and can't recommend both him and the Summit Medical Center surgery team enough. I literally couldn't have dreamed of a better experience, thank you so much Dr. Liu!
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Mike Becker profile picture
Mike Becker
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Could not have had a better experience from the initial consultation through follow-up. Dr. Liu is clearly top in his field.
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Mark Bennett profile picture
Mark Bennett
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Hands down, Dr. Rockson Liu is one of the finest physicians practicing in the field of invasive robotic hernia surgery. In my opinion, he is simply the BEST! Words cannot express how grateful I am to Dr. Rockson Liu and his entire team. The level of care I received—from my first consultation through surgery and every follow-up appointment—far exceeded anything I could have expected. For years, I lived with chronic pain. I had undergone hernia surgery about 15 years ago, but the repair had failed and needed to be corrected. I delayed seeking treatment because life got in the way, and at one point I was told by another physician that I needed to lose weight before surgery could even be considered. I committed to my health and lost 50 pounds. During that time, my wife, who has been a nurse for more than 30 years, researched the top specialists in robotic hernia surgery. After extensive research, she found Dr. Rockson Liu and immediately scheduled an appointment because she knew I shouldn't have to continue living in constant pain. From the moment I met Dr. Rockson Liu, I knew I was in the right hands. He took the time to thoroughly examine me, review my medical history, answer all of my questions, and make me feel comfortable. After reviewing my imaging, he recommended surgery right away to make the necessary repairs. The entire experience was exceptional! The pre-surgery team was professional, compassionate, and reassuring. The surgery itself was a complete success, and the recovery process was supported by outstanding follow-up care from Dr. Rockson Liu and his staff. Today, the chronic pain that had become part of my daily life is gone. I have my life back. Dr. Rockson Liu didn't just perform a successful surgery—he restored my health, gave me hope, and, in many ways, helped save my life. I love Dr. Rockson Liu. He is my HERO! I will never forget the compassion he showed me, the confidence he gave me, and the incredible care I received from him and his entire team. I wish I had found them years earlier. They truly changed my life. If you are looking for a surgeon who combines WORLD-CLASS expertise with genuine compassion, I cannot recommend Dr. Rockson Liu highly enough. He and his entire team are truly exceptional, and I will always be thankful for the care they provided me.
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Evelia
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El Dr Liu es un gran cirujano yo tuve una reparación de hernia !! Al primer cirujano que miré me dijo que tenía grasa adentro de mi hernia que me mandaría con su amigo al momento sentí mucho medio que me mandara con otro Dr que era el Dr luí y fue lo mejor que hizo !! Al hablar con el Dr luí me mostró confianza me dijo que todo es ataría bien esto fue en el 2024 y fue una excelente cirugía dios Bendiga las manos de este doctor estaré eternamente agradecía es un excelente doctor !!
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JDKJ Rockefeller
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Having a surgical experience with a DaVinci robot in tandem with Dr Rockson Liu was seamless. It reminded me of a spectacular Pas de Deux in the New York City Ballet. Everything was perfect. If all of medicine replicated my experience, I would up the ante with Dr Liu daily. Bravo, Rockson!
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susannah castle profile picture
susannah castle
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Dr. Liu is a truly caring professional. I met with him to discuss a hernia recurrence repair after my first surgery failed. He thoroughly evaluated my case, spent a lot of time going over my images and options. I left our consultation feeling heard, informed and confident in the repair surgery he recommended. If you need surgery like this, Dr. Liu is your doc!!!
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Meet Dr. Rockson Liu, MD, FACS - Hernia Specialist

The leading minimally-invasive, robotics-assisted general surgeon in the country

Whether you’re facing your first hernia or a recurrence after a previous repair, you need a surgeon with the experience to fix it properly.

With more than 1,500 minimally invasive, robot-assisted surgeries. He has also achieved a 100% success rate treating recurrent hernias that other surgeons were unable to resolve, including cases where patients had been told nothing more could be done.

Dr Liu's combination of technical expertise and case-specific problem-solving helps patients achieve a durable repair with less pain, minimal scarring, and a faster recovery.

About Dr. Liu

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