Around 80% of inguinal hernia cases are caused by indirect hernia. Various studies have reported that hernia accidents are more common in the elderly, who are often unaware of their diagnosis and have not sought surgical treatment. Aim: This study was conducted to evaluate the various inguinal hernia aspects and its presentations among adult population. Materials and Methods: This study was conducted in Department of surgery in tertiary health care center during February 2018 to February 2019

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... outpatient department. 50 patients were included in the study. Results: Highest number of patients were in the age group of >51 years (50%), males were 76% and females were 24% in the study, the majority of patients (66 percent) had an indirect hernia, while only 34% had a direct hernia, the majority of patients had a left side hernia (40%) followed by a right side hernia (36%) and both in 24 percent of cases, symptoms of pain when coughing, exercising was observed in majority of patients i.e. 32%, followed by burning sensation (28%), the occupation of most of the patients were farmer (54%), followed by labourer (18%), shopkeeper (16%) and student (12%). Conclusion: The bulk of the patients in this study were in their eighties and nineties, with males accounting for the majority of the patients. The majority of the patients had an indirect hernia, with a left hernia being the most common. The majority of the patients felt pain when coughing, exercising, or leaning over.