I've had surgery on three hernias and now have mesh in my abdomen to keep things in place. I don't remember having any pain with them. The first one was off to one side and I was lopsided. They fixed that during gall bladder surgery. The second time I had two separate ones, one ventral, the other something else which I have forgotten. They were both fixed at once. A hiatal hernia is different; I have been told that most people get those by a certain age. That one doesn't bother me as such, though now the GERD has moved into my esophagus, causing some hoarseness and choking on food. Again, there is no pain with that, I am just disappointed that I can't sing any more, not that I ever could other than for my own pleasure, but I enjoyed it. Anyway, I had no symptoms from my hernias, but since there's a chance of strangulation, which could cause a lot of trouble, they felt it best to repair them. I hope you don't need surgery, but if you do, it might be easier now than it was back in the eighties when I had mine. Good luck.