It is always surgery and there is no medicine top treat hernia. Surgery can be performed Laparoscopically ( key hole surgery) or by open surgery. in either methods the hernia sac is reduced and the defect is closed with sutures and the surgery is completed after placing a Mesh. Laparoscopic surgery has a better advantage than the open surgery because of small incisions( cuts) which means less pain and easy recovery. Also in laparoscopic surgery bigger size mesh can be placed which means lesser chance of recurrence. However laparoscopic hernia surgery is technically more challenging and has to be performed by a well trained surgeon.