Had a hernia repaired twice in Ontario 25 years ago. Failed both times after only a number of months and I was and am not a heavy exerciser.
After the failures, when I saw my urologist about a pee problem, he said why are you not going to the Shouldice Institute in Toronto. By the time I arrived there I had two hernias.
Sheldon is right -- at Shouldice they give you a local anaesthetic and happy juice. 25 years later I have had no further problems.
You can google Shouldice repair to see the technique. One would think it would be performed in the US.
If you want more US information, google hernia repair -- there is a forum at Penn Hernia Insitute, for example, which is interesting.
By the way, my experience with hernia repair supposedly by a good surgeon was the reason I made sure that I had one of the best surgeons in Canada do my prostatectomy.
Skeener