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O RI G I N A L A R T I C L E International guidelines for groin hernia management The HerniaSurge Group1 Received: 5 February 2017 / Accepted: 13 September 2017 / Published online: 12 January 2018 Ó The Author(s) 2018. This article is an open access publication Abstract Introduction Worldwide, more than 20 million patients undergo groin hernia repair annually. The many different approaches, treatment indications and a significant array of techniques for groin hernia repair warrant guidelines to standardize care, minimize complications, and improve results. The main goal of these guidelines is to improve patient outcomes, specifically to decrease recurrence rates and reduce chronic pain, the most frequent problems fol- lowing groin hernia repair. They have been endorsed by all five continental hernia societies, the International Endo Hernia Society and the European Association for Endo- scopic Surgery. Methods An expert group of international surgeons (the HerniaSurge Group) and one anesthesiologist pain expert was formed. The group consisted of members from all continents with specific experience in hernia-related research. Care was taken to include surgeons who perform different t...